Organization Active NPI

Soper Enterprises Mercer Island, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mercer Island, WA
National Provider Identifier
1104556042
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOPER ENTERPRISES MERCER ISLAND, PLLC
Practice address
2817 80TH Ave SE
Mercer Island, WA 98040-2913
Phone
(206) 232-9600
Fax
(206) 232-2936
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Barton Soper, DDS, MS, PLLC
Title
Doctor
Phone
(425) 747-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2817 80TH Ave SE
Mercer Island, WA 98040-2913

Mailing address

14575 NE Bel Red Rd Ste 200
Bellevue, WA 98007-3908
Phone (425) 375-8923

Other names 1

  • Advanced Orthodontics Mercer Island Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1104556042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 NE BEL RED RD STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073908",
            "telephone_number": "425-375-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 80TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402913",
            "telephone_number": "206-232-9600",
            "fax_number": "206-232-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPER ENTERPRISES MERCER ISLAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "BARTON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "425-747-9494",
        "authorized_official_credential": "DDS, MS, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Orthodontics Mercer Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.