Copeland Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027730 Issued in IL

Legal business name

COPELAND DENTAL, INC.

Practice address

5955 W Irving Park Rd
Chicago, IL 60634-2618

Phone

(708) 927-5111

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maureen Leake, D.D.S.

Title

Owner/Dentist

Phone

(708) 927-5111

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maureen Copeland, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1922248970
  NPD

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1841579612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 W CULLOM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342618",
            "telephone_number": "708-927-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPELAND DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "LEAKE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "708-927-5111",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaurice Coopwood
• Jessica Grace Coors, LCPC
• Kyndal Coote
• Georgia Cope
• Rachel Ann Cope, LCSW
• Amanda Elizabeth Copeland
• Christina G. Copeland
• Ebony R Copeland, M.D.
• Elana Rae Copeland, MA, CADC
• Grace Cook Copeland, PA-C

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.