Active NPI
Rostyslav Kopynets, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1932932779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29589
- Practice address
- 12410 N Nebraska Ave
Tampa, FL 33612-5352 - Phone
- (813) 397-5300
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN29589 | FL | Primary |
Addresses
Primary practice location
12410 N Nebraska Ave
Tampa, FL 33612-5352
Mailing address
3676 Collin Dr Ste 4
West Palm Beach, FL 33406-4718
Phone (561) 440-9944
Other practice location 1
3676 Collin Dr Ste 4
West Palm Beach, FL 33406-4718
Phone (561) 440-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
302 W Fletcher Ave
Tampa, FL 33612-3415
9425 Delegates Row
Indianapolis, IN 46240-3805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN29589 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1356347413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1932932779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3676 COLLIN DR STE 4",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334064718",
"telephone_number": "561-440-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 N NEBRASKA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336125352",
"telephone_number": "813-397-5300"
}
],
"practiceLocations": [
{
"address_1": "3676 Collin Dr Ste 4",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334064718",
"country_code": "US",
"telephone_number": "561-440-9944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPYNETS",
"first_name": "ROSTYSLAV",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-26",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.