Individual provider Active NPI

Dan Kopacz, MD

  • Anesthesiology Physician
  • Englewood, CO
National Provider Identifier
1811919186
Registry record updated Jul 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
28934 Issued in CO
Practice address
333 W Hampden Ave
Suite 600
Englewood, CO 80110-2330
Phone
(303) 761-5646
Fax
(303) 761-9280
NPI assigned
Jul 24, 2006
Last updated
Jul 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 28934 CO Primary

Addresses

Primary practice location

333 W Hampden Ave
Suite 600
Englewood, CO 80110-2330

Mailing address

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111-4727
Phone (303) 761-5646

Other identifiers 1

IdentifierTypeStateIssuer
45035580MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28934COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Denver Anesthesiologists PC Anesthesiology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532217600000",
    "number": "1811919186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE",
            "address_2": "STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114727",
            "telephone_number": "303-761-5646",
            "fax_number": "303-761-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W HAMPDEN AVE",
            "address_2": "SUITE 600",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102330",
            "telephone_number": "303-761-5646",
            "fax_number": "303-761-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACZ",
        "first_name": "DAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "28934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45035580",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.