Organization Active NPI

N.Rao Kopuri, BDS.,Ms.,PA.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merritt Island, FL
National Provider Identifier
1972627438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
P00000094134 Issued in FL
Legal business name
N.RAO KOPURI, BDS.,MS.,PA.
Practice address
780 E Merritt Island Cswy
Suite 6 C
Merritt Island, FL 32952-3562
Phone
(321) 453-5833
Fax
(321) 453-3633
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. N Rao Kopuri, BDS.,MS.
Title
President
Phone
(321) 427-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X P00000094134 FL Primary

Addresses

Primary practice location

780 E Merritt Island Cswy
Suite 6 C
Merritt Island, FL 32952-3562

Mailing address

780 E Merritt Island Cswy
Suite 6 C
Merritt Island, FL 32952-3562
Phone (321) 453-5833

National Provider Directory

National Provider Directory
Tax ID family
N Rao Kopuri Bdsmspa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972627438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E MERRITT ISLAND CSWY",
            "address_2": "SUITE 6 C",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523562",
            "telephone_number": "321-453-5833",
            "fax_number": "321-453-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E MERRITT ISLAND CSWY",
            "address_2": "SUITE 6 C",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523562",
            "telephone_number": "321-453-5833",
            "fax_number": "321-453-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.RAO KOPURI, BDS.,MS.,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPURI",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-427-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS.,MS."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "P00000094134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.