Individual provider Active NPI

David J Kopelove, DC

  • Chiropractor
  • Chevy Chase, MD
National Provider Identifier
1942425756
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01652 Issued in MD
Practice address
6708 Wisconsin Ave
#206 3Rd FLR
Chevy Chase, MD 20815-5300
Phone
(301) 654-0911
Fax
(301) 654-1658
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01652 MD Primary

Addresses

Primary practice location

6708 Wisconsin Ave
#206 3Rd FLR
Chevy Chase, MD 20815-5300

Mailing address

6708 Wisconsin Ave
Ste 206 3Rd FLR
Chevy Chase, MD 20815-5300
Phone (301) 654-0911

Other identifiers 2

IdentifierTypeStateIssuer
S8310001OtherDCBCBS
LU65OtherMDBCBS

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1942425756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 WISCONSIN AVE",
            "address_2": "STE 206 3RD FLR",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155300",
            "telephone_number": "301-654-0911",
            "fax_number": "301-654-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 WISCONSIN AVE",
            "address_2": "#206 3RD FLR",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155300",
            "telephone_number": "301-654-0911",
            "fax_number": "301-654-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELOVE",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S8310001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LU65",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.