Ivan Koutsopatriy, DDS
NPI 1497378053 · Prosthodontics · Fort Bragg, NC
Ivan Koutsopatriy, DDS is a Prosthodontics provider in Fort Bragg, NC (NPI 1497378053).
Provider details
- NPI number
- 1497378053
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 30.026114 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1838 Normandy DrFort Bragg, NC 28310-8503Phone: (191) 043-2422
- Smoke Bomb Hill Dental ClinicFort Bragg, NC 28310-0001Phone: (910) 907-8922
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Frequently asked questions
- What is Ivan Koutsopatriy's NPI number?
- Ivan Koutsopatriy's National Provider Identifier (NPI) is 1497378053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Koutsopatriy's specialty?
- Ivan Koutsopatriy is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is Ivan Koutsopatriy located?
- Ivan Koutsopatriy's practice location on file with NPPES is 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001.
- What is Ivan Koutsopatriy's phone number?
- The practice phone number listed in the NPPES registry for Ivan Koutsopatriy is (910) 907-8922.
- Is Ivan Koutsopatriy's NPI active?
- Yes — Ivan Koutsopatriy's NPI (1497378053) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.