DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) – Prosthodontics, NPI 1497378053

DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) is a healthcare provider. based in Eaton, Ohio. specializing in Prosthodontics. They hold the professional credentials DDS. They hold a License No. 30.026114 (OH). The NPI Number for DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) is 1497378053

Main info

Male
Name
DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS)
NPI
1497378053
Phone
(937) 533-5887
Address
100 TIFFIN CT
Enumeration Date
18 May 2020
Last Update Date
3 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS)

  • 100 TIFFIN CT

    EATON, OH 453201973

    Phone: (937) 533-5887

    Type: Mailing

  • US ARMY DENTAL HEALTH ACTIVITY 1667 COCHRANE CIRCLE

    BLDG 7495

    FORT CARSON, CO 80913

    Phone: (719) 526-5400

    Type: Location

  • 2817 ROCK MERRITT AVE

    WOMACK ARMY MEDICAL CENTER

    FORT BRAGG, NC 283100001

    Phone: (910) 907-8922

    Type: Mailing

  • 1838 Normandy Dr

    Fort Bragg, NC 283108503

    Phone: (191) 043-2422

    Type: Location

  • Smoke Bomb Hill Dental Clinic

    Fort Bragg, NC 283100001

    Phone: (910) 907-8922

    Type: Location

  • BLDG 38801 ACADEMIC DR SUITE B&C

    FORT GORDON, GA 30905

    Phone: (706) 787-6927

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45320)

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Reviews

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Frequently asked questions

Is there an official ID for DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) in U.S. healthcare records?
The official identifier for DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) is NPI 1497378053.
Active or inactive — what applies to DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS)?
You should see DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) as active in CMS-hosted NPPES data.
What area of care is associated with DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS)?
DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS)'s record emphasizes Prosthodontics. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS)?
Directory geography for DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) centers on Eaton, Ohio.
When was this NPI issued?
Enumeration for DR. IVAN SERGEYEVICH KOUTSOPATRIY (DDS) is noted as May 18, 2020 where the registry provides it.

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