Joanne Copps DDS Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

57267 Issued in CA

Legal business name

JOANNE COPPS DDS DENTAL CORPORATION

Practice address

4001 Governor Dr
San Diego, CA 92122-2522

Phone

(858) 997-7390

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joanne Copps, D.D.S.NPI 1629169057

Title

President

Phone

(858) 997-7390

Specialties & licenses 1

Addresses

Other names 1

• Governor Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Copps, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1629169057
  NPD (past) Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1902140924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5181 ARGONNE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171054",
            "telephone_number": "858-997-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222522",
            "telephone_number": "858-997-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE COPPS DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "COPPS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-997-7390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Governor Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carla Mae Joaquin
• Clarence Ray Joaquin, RN
• Clarisa Pulido Joaquin, RN

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.