Koprince Dermatology PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

KOPRINCE DERMATOLOGY PLC

Practice address

713 N Main St
Royal Oak, MI 48067-1835

Phone

(248) 548-7707

Fax

(248) 548-7736

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Pone Chanthavong

Title

Biller

Phone

(248) 548-7707

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna Gammons, D.O.

  • Dermatology Physician
  • Royal Oak, MI
  • NPI 1255371670
  NPD (past)
• Janet Lynn Koprince, D.O.

  • Dermatology Physician
  • Royal Oak, MI
  • NPI 1205875085
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1821298167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671835",
            "telephone_number": "248-548-7707",
            "fax_number": "248-548-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671835",
            "telephone_number": "248-548-7707",
            "fax_number": "248-548-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPRINCE DERMATOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "CHANTHAVONG",
        "authorized_official_first_name": "PONE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-548-7707"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Kolderman, M.D.
• Harvey J Komorn, MD
• Julie M Koning, R.D.
• Robert Henry Konstan, MD
• Jessica Lee Kopchia, DO
• Janet Lynn Koprince, D.O.
• Emily Elizabeth Koptyra, MD
• Bonnie Korchak, LMSW, CACII
• Howard J Korman, MD
• Joe Kort, MSW, MA, PH.D.

• Dermatology Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.