Individual provider Active NPI

Viktor V Kopynets, DMD

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1932517042
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20696 Issued in FL
Practice address
5201 NW 2ND Ave
Apt 211
Boca Raton, FL 33487-3837
Phone
(347) 740-1230
NPI assigned
Aug 1, 2014
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20696 FL Primary

Addresses

Primary practice location

5201 NW 2ND Ave
Apt 211
Boca Raton, FL 33487-3837

Mailing address

5201 NW 2ND Ave
Apt 211
Boca Raton, FL 33487-3837
Phone (347) 740-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN20696FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1932517042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NW 2ND AVE",
            "address_2": "APT 211",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873837",
            "telephone_number": "347-740-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NW 2ND AVE",
            "address_2": "APT 211",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873837",
            "telephone_number": "347-740-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPYNETS",
        "first_name": "VIKTOR",
        "middle_name": "V",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.