Kopemak Dental Specialists, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27210 Issued in TX

Legal business name

KOPEMAK DENTAL SPECIALISTS, PLLC

Doing business as

Pinnacle Implants & Periodontics

Practice address

444 Forest SQ
Suite a
Longview, TX 75605-4463

Phone

(903) 758-3329

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro Kovacs, DDA, MS, FACP, DICOI

Title

President/Ceo

Phone

(612) 817-8115

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Implants & Periodontics Doing business as

Locations

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1841641669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOREST SQ",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054463",
            "telephone_number": "903-758-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPEMAK DENTAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "612-817-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDA, MS, FACP, DICOI"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Implants & Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Dean Knutson, D.D.S.
• Jarrett Koch, PHARMD
• Sayojirao Venkata Kodali, MD
• Ester Koegelenberg
• Emily Koelling, MCD,CCC/SLP
• Venkata Sandeep Koripalli, M.D.,
• Erica Marie Korompai, CRNA
• Megan Nora Korthals, LPC
• Saritha Arun Kortikere, MD
• Rishank Reddy Korupolu, D.D.S.

• Dental Clinic/Center in Longview, TX
• Providers in Longview, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.