Jared Poplin D.M.D., PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25418 Issued in TX

Legal business name

JARED POPLIN D.M.D., PLLC

Practice address

6850 Austin Center Blvd Ste 220
Austin, TX 78731-3131

Phone

(785) 691-6171

NPI assigned

Apr 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jared Poplin, D.M.D.

Title

Dr

Phone

(785) 691-6171

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1003202060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 AUSTIN CENTER BLVD STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 AUSTIN CENTER BLVD STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313131",
            "telephone_number": "785-691-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED POPLIN D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "POPLIN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "785-691-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211924002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211924001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211924003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Jaramillo
• Sylvia Jaramillo, MD
• Jason Avery Jaratt
• Courtney Jardine, RD
• Jared Covarrubias Chiropractic
• Megan Jarman, OTR
• Jocelyn Jarmon
• Yezen Anis Jarrar, MD
• Michael T. Jarratt, M.D.
• Jahfiqerah Jarrett

• All providers in Austin, TX
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.