Healthcare Provider Details

I. General information

NPI: 1467008383
Provider Name (Legal Business Name): STEVEN COOPERMAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3740 DACORO LN STE 105
CASTLE ROCK CO
80109-2515
US

IV. Provider business mailing address

3740 DACORO LN STE 105
CASTLE ROCK CO
80109-2515
US

V. Phone/Fax

Practice location:
  • Phone: 303-660-4115
  • Fax: 303-660-2366
Mailing address:
  • Phone: 303-660-4115
  • Fax: 303-660-2366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number36.004089
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: