Active NPI
Reid Weston Popple, DMD
- Dentist
- Snellville, GA
National Provider Identifier
1134610926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN015631
- Practice address
- 2992 Stone Mountain Hwy
A100
Snellville, GA 30078 - Phone
- (770) 972-1039
- NPI assigned
- May 29, 2018
- Last updated
- May 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN015631 | GA | Primary |
Addresses
Primary practice location
2992 Stone Mountain Hwy
A100
Snellville, GA 30078
Mailing address
773 Vedado Way NE
Atlanta, GA 30308-1723
Phone (770) 241-9448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015631 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soh of Georgia Ozf PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1134610926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "773 VEDADO WAY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081723",
"telephone_number": "770-241-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2992 STONE MOUNTAIN HWY",
"address_2": "A100",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "30078",
"telephone_number": "770-972-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPLE",
"first_name": "REID",
"middle_name": "WESTON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN015631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.