Organization Active NPI

Constance Copetas DMD

  • Dentist
  • Spokane, WA
National Provider Identifier
1932654266
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5785 Issued in WA
Legal business name
CONSTANCE COPETAS DMD
Practice address
104 W 5TH Ave Ste 290E
Spokane, WA 99204-4812
Phone
(509) 747-5586
Fax
(509) 624-9288
NPI assigned
Aug 16, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Dr. Constance C Copetas, DMDNPI 1366549982
Title
Owner / Dentist
Phone
(509) 747-5586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5785 WA Primary

Addresses

Primary practice location

104 W 5TH Ave Ste 290E
Spokane, WA 99204-4812

Mailing address

104 W 5TH Ave Ste 290E
Spokane, WA 99204-4812
Phone (509) 747-5586

National Provider Directory

National Provider Directory

Locations

104 W 5th Ave
Ste 290E
Spokane, WA 99204
Phone (509) 747-5586

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1932654266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 290E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044812",
            "telephone_number": "509-747-5586",
            "fax_number": "509-624-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 290E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044812",
            "telephone_number": "509-747-5586",
            "fax_number": "509-624-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE COPETAS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "COPETAS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "509-747-5586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.