MOSTAFA KOPERLY
NPI 1417346727
Dentist in Fontana, CA
About Mostafa Koperly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOSTAFA KOPERLY (NPI 1417346727) is an individual dentist in Fontana, California, licensed in California (101047) and active in the NPI registry since January 2015. He has opted out of Medicare through December 8, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mostafa Koperly has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2015 through December 8, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mostafa Koperly's NPI number?
The NPI number for Mostafa Koperly is 1417346727. It was assigned to this individual provider in the NPPES registry on January 10, 2015.
Where is Mostafa Koperly located?
Mostafa Koperly practices at 17113 Arrow Blvd, Fontana, CA 92335. The listed phone number is (832) 436-8277.
What is Mostafa Koperly's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Mostafa Koperly enrolled in Medicare?
No. Mostafa Koperly has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Mostafa Koperly accept?
Health plans from Humana list Mostafa Koperly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mostafa Koperly was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mostafa Koperly · NPI 1417346727
Dentist provider in Fontana, California. Individual provider, active in the CMS NPPES registry since January 10, 2015.
## Identity
- **NPI:** 1417346727 (Entity type: Individual)
- **Enumerated:** January 10, 2015
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 101047 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 17113 ARROW BLVD, Fontana, CA 92335-3948
- **Phone:** (832) 436-8277
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 8, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 28, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1417346727) · Data from the CMS NPPES public registry.