Ashley & Benjamin Koppel DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ASHLEY & BENJAMIN KOPPEL DDS INC

Practice address

620 S Melrose Dr Ste 201
Vista, CA 92081-6644

Phone

(760) 554-8825

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Ann-Robbins Koppel, DDSNPI 1033730593

Title

Ceo

Phone

(760) 554-8825

Specialties & licenses 1

Addresses

Other names 1

• Pristine Dentistry Doing business as

Locations

Practitioners 2

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

• Ashley Ann-Robbins Koppel, DDS

  • General Practice Dentistry
  • Vista, CA
  • NPI 1033730593
  NPD Authorized official
• Benjamin Koppel, DDS

  • General Practice Dentistry
  • Menifee, CA
  • NPI 1639790298
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1902584964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MORAGA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S MELROSE DR STE 201",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816644",
            "telephone_number": "760-554-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY & BENJAMIN KOPPEL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANN-ROBBINS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-554-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Vista, CA
• Providers in Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.