Christina Copoulos-Swanson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001198-15 Issued in WI

Practice address

850 Summit Ave Stop 1
Oconomowoc, WI 53066-3920

Phone

(262) 567-0470

NPI assigned

May 10, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Dental Excellence

  dba Matthew L Lehman, DDS

  • Dentist
  • Oconomowoc, WI
  • NPI 1073971149
  NPD (past)

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1972293298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W 5TH ST",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663534",
            "telephone_number": "414-807-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SUMMIT AVE STOP 1",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663920",
            "telephone_number": "262-567-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPOULOS-SWANSON",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001198-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frieda Marie Coakley, MS/CCC - SLP
• Carla Colella, DPT
• Complete Chiropractic and Rehab Center LLC
• Eric P Conradson, M.D.
• William R. Cooper, MD
• Costco Wholesale Corporation (Costco Pharmacy #1803)
• Costco Wholesale Corporation (Costco Hearing Aid #1803)
• Costco Wholesale Corporation (Costco Optical #1803)
• Judie V Cotey, DDS
• Matthew John Cowling, DO

• General Practice Dentistry in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.