Jonathan M Copeland, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2009013176 Issued in MO

Practice address

2426 Taylor Rd
Wildwood, MO 63040-1222

Phone

(636) 273-5866

Fax

(636) 273-5349

NPI assigned

Dec 7, 2009

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jon Copeland DDS LLC

  dba Town Center Dental

  • Dental Clinic/Center
  • Wildwood, MO
  • NPI 1164039558
  NPD

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1972832715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16545 WILLOW GLEN DR",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401748",
            "telephone_number": "636-273-5866",
            "fax_number": "636-273-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 TAYLOR RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401222",
            "telephone_number": "636-273-5866",
            "fax_number": "636-273-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009013176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Danielle Coats
• Courtney Cole, DNP, APRN, WHNP-BC
• Mary Collins
• Peggy Ann Collins, R.N.
• Stephanie Anne Cook, LPC
• Stephanie Lynn Maloney Copeland, DDS
• Corrections Chiropractic, LLC
• Andrea Coster, MBA, CRNFA
• Meghan Cunningham
• Marzieh Currimbhoy, DDS

• Dentist in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.