Active NPI
Robert P. Sopko, DDS, PA
- Endodontics
- Raleigh, NC
National Provider Identifier
1134529910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert P Sopko
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223E0200X | Other | NC | ENDO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Endodontics
- Raleigh, NC
- NPI 1073689543
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.