Mark Kopera, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025678L Issued in PA

Practice address

129 Laurel Dr
Hastings, PA 16646-5510

Phone

(814) 247-9906

Fax

(814) 247-6481

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

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.

• Dr Jan Brown Inc

  • General Practice Dentistry
  • Hastings, PA
  • NPI 1922112457
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1831348390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LAUREL DR",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465510",
            "telephone_number": "814-247-9906",
            "fax_number": "814-247-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LAUREL DR",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465510",
            "telephone_number": "814-247-9906",
            "fax_number": "814-247-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPERA",
        "first_name": "MARK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025678L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hastings Area Ambulance Association
• David G Hershberger, MD
• John Crawford III DO
• Joseph Rezk (Rezk Medical Supply)
• Keystone Rehabilitation Systems Inc (Keystone Rehabilitation Systems)
• Regina S Kuncelman, CRNP
• Edward Murray Lanzendorfer, DC
• Samuel E Long, MD
• Jane A Maslonik, RD LDN
• Matthew John Dvorchak M.D.

• General Practice Dentistry in Hastings, PA
• Providers in Hastings, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.