Vincent Heard Copeland, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4854 Issued in TN

Practice address

4250 Faronia Rd
Memphis, TN 38116-6527

Phone

(901) 332-9170

Fax

(901) 332-0806

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Raymond Cosmetic & Implant Dentistry

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1023898145
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1811987258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 MAYFIELD RD S",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173314",
            "telephone_number": "901-754-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FARONIA RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166527",
            "telephone_number": "901-332-9170",
            "fax_number": "901-332-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "VINCENT",
        "middle_name": "HEARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4854",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2475-89",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060418",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225807",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Cooper, FNP-C, ACNP-BC
• Jasmine Copeland, DDS
• Mary Copeland, M.S., CCC-SLP
• Melanie Copeland, LCSW
• Micarol Copeland
• Willie M Copeland, MSW
• Debra L Coplon, DNP, DCC
• Rachel Elizabeth Coppens, APRN
• Mark A Coppess, MD
• Cathy Corbett, MD

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.