David Todd Copus, D.D.S., M.S., P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

17045 Issued in MI

Practice address

4131 Shrestha Dr
Bay City, MI 48706-2171

Phone

(989) 667-5980

Fax

(989) 667-5982

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MI

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891846507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SHRESTHA DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062171",
            "telephone_number": "989-667-5980",
            "fax_number": "989-667-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SHRESTHA DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062171",
            "telephone_number": "989-667-5980",
            "fax_number": "989-667-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPUS",
        "first_name": "DAVID",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "17045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacey L Cooke, RN
• Addison Pearl Cooley
• Carson Lee Cooley
• Holly Jo Cooley
• Allison Cooper
• Madison Copus
• Denise Ann Corbat, FNP
• Nathan Corbin
• Corinn Denay LMSW Counseling LLC
• Alexis Ann Corless, BCBA

• Orthodontics and Dentofacial Orthopedics Dentistry in Bay City, MI
• Providers in Bay City, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.