Carolyn M Coppe, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21233 Issued in MA

Practice address

21 Muzzey St
Lexington, MA 02421-5259

Phone

(781) 861-6120

NPI assigned

Feb 25, 2008

Sex

Female

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 MA

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

Locations

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.

• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Medicare reassignment NPD
• Coppe Pediatric Dental LLC

  • Pediatric Dentistry
  • Lexington, MA
  • NPI 1558782409
  NPD Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1881863710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215259",
            "telephone_number": "781-861-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MUZZEY ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215259",
            "telephone_number": "781-861-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPE",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "21233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cooperative for Human Services, Inc.
• Janaisha Diyanie Copeland Delcompare
• Jennifer K Coplon, LICSW
• Coppe Pediatric Dental LLC
• Coppe Pediatric Dentistry
• Michael Richard Coppe, D.M.D.
• Kelly Corbett
• Astrid C Cordero, MA CCC SLP
• Kathleen Ann Corley, NP
• Emma Cornell

• Pediatric Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.