Kopf Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

597 Issued in SD

Legal business name

KOPF DENTAL GROUP

Practice address

11 Court St
Vermillion, SD 57069-3056

Phone

(605) 624-8695

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Kopf, DDSNPI 1194955575

Title

Owner-Doctor

Phone

(402) 371-0886

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Zachary Aaron Kopf, DDS

  • General Practice Dentistry
  • Norfolk, NE
  • NPI 1194955575
  Authorized official Same address or phone
• Blake Kopf, DDS

  • Dentist
  • Vermillion, SD
  • NPI 1144711896
  NPD (past)
• Gary Prosser, DDS

  • Dentist
  • Vermillion, SD
  • NPI 1730202946
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1952763849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURT ST",
            "address_2": "PO BOX 356",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693056",
            "telephone_number": "605-624-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURT ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693056",
            "telephone_number": "605-624-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPF DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KOPF",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER-DOCTOR",
        "authorized_official_telephone_number": "402-371-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260168-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Therese Kassin, PA
• Shelby Keeton, DDS
• Knutson Familty Dentistry LLP
• Matthew Richard Knutson, DDS
• Richard Leonard Knutson, DDS
• Blake Kopf, DDS
• Solveig Sperati Korte
• Matthew D Krell, MD
• Kia Kronaizl
• Ian David Lackey, ATC

• General Practice Dentistry in Vermillion, SD
• Providers in Vermillion, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.