Organization Active NPI

Robert P. Sopko, DDS, PA

  • Endodontics
  • Raleigh, NC
National Provider Identifier
1134529910
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6548 Issued in NC
Legal business name
ROBERT P. SOPKO, DDS, PA
Practice address
3708 Forestview Rd
Ste 201
Raleigh, NC 27612-8042
Phone
(919) 819-9289
Fax
(919) 747-4334
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Dr. Robert P SopkoNPI 1073689543
Title
Owner
Phone
(919) 819-9289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 6548 NC Primary

Addresses

Primary practice location

3708 Forestview Rd
Ste 201
Raleigh, NC 27612-8042

Mailing address

3708 Forestview Rd
Ste 201
Raleigh, NC 27612-8042
Phone (919) 819-9289

Other identifiers 1

IdentifierTypeStateIssuer
1223E0200XOtherNCENDO

National Provider Directory

National Provider Directory

Locations

3708 Forestview Rd
Ste 201
Raleigh, NC 27612
Phone (919) 819-9289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1134529910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 FORESTVIEW RD",
            "address_2": "STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128042",
            "telephone_number": "919-819-9289",
            "fax_number": "919-747-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 FORESTVIEW RD",
            "address_2": "STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128042",
            "telephone_number": "919-819-9289",
            "fax_number": "919-747-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. SOPKO, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "SOPKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-819-9289",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDO",
            "identifier": "1223E0200X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.