Cara Nicole Copes, D.M.D.

Individual provider Active NPI General Practice Dentistry · Ft Mitchell, KY

NPI 1811155153 · NPPES record last updated May 22, 2008

Key facts

NPI
1811155153
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7507 (KY)
Practice address
12 Orphanage Rd
Ft Mitchell, KY 41017-3072
Phone
(859) 331-2282
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160323001842 KY Order and Referring Only - Dentist
Practitioner - Dentist
9436456126

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7507KYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7507 KY Yes

Addresses

Primary practice location

12 Orphanage Rd
Ft Mitchell, KY 41017-3072

Mailing address

12 Orphanage Rd
Ft Mitchell, KY 41017-3072
Phone (859) 331-2282

Other providers in Ft Mitchell, KY

All providers in Ft Mitchell, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.