Jeffrey Mark Copas, DDS – Dentist in Castlewood, VA

Key facts

NPI: 1992884209
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 0401006192 (VA)
Practice address: 19308 RT 58
Castlewood, VA 24224
Phone: (276) 762-2323
Fax: (276) 762-2324
NPI assigned: Nov 6, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
0401006192	VA	MD	Dentist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	0401006192	VA	Yes

Addresses

Primary practice location

19308 RT 58
Castlewood, VA 24224

Mailing address

PO Box 340
Castlewood, VA 24224
Phone (276) 762-2323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992884209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "CASTLEWOOD",
            "state": "VA",
            "postal_code": "24224",
            "telephone_number": "276-762-2323",
            "fax_number": "276-762-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19308 RT 58",
            "city": "CASTLEWOOD",
            "state": "VA",
            "postal_code": "24224",
            "telephone_number": "276-762-2323",
            "fax_number": "276-762-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPAS",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castlewood, VA

All providers in Castlewood, VA · Dentist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.