JACOB KAOPUA DDS
NPI 1669364725
Dentist - General Practice in Mesa, AZ

Active since July 15, 2025PECOS Enrolled
1240 E BASELINE RD STE 100, MESA, AZ 85204(480) 576-7378 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Kaopua Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB KAOPUA DDS (NPI 1669364725) is an individual general practice provider in Mesa, Arizona, licensed in Arizona (D012583) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669364725
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB KAOPUACredential: DDS
Location Address1240 E BASELINE RD STE 100Mesa, AZ 85204-6700
Mailing Address435 E Main St Apt 241Mesa, AZ 85203-5145 · (360) 202-7368
Sole ProprietorNo
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1669364725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D012583
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1240 E BASELINE RD STE 100, Mesa, AZ 85204

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Jacob Kaopua is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85204 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $17.31
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
1240 E BASELINE RD STE 100
MESA, AZ 85204
Dentist (General Practice)
1240 E BASELINE RD STE 100
MESA, AZ 85204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669364725, enumerated as an "individual" on July 15, 2025.

The provider is located at 1240 E BASELINE RD STE 100 MESA, AZ 85204 and the phone number is (480) 576-7378.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Anthem Blue. Please consult your insurance carrier or call the provider to verify.