Active NPI
Soper Enterprises Mercer Island, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mercer Island, WA
National Provider Identifier
1104556042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.