Organization Active NPI

Soper Smile Company PLLC

Doing business as Connect Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellevue, WA
National Provider Identifier
1144718453
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
60772626 Issued in WA
Legal business name
SOPER SMILE COMPANY PLLC
Doing business as
Connect Orthodontics
Practice address
14575 NE Bel Red Rd Ste 200
Bellevue, WA 98007-3908
Phone
(425) 747-9494
NPI assigned
Apr 23, 2018
Last updated
Apr 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Dawn Eimer
Title
Billing Specialist
Phone
(425) 747-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 60772626 WA Primary

Addresses

Primary practice location

14575 NE Bel Red Rd Ste 200
Bellevue, WA 98007-3908

Mailing address

14575 NE Bel Red Rd Ste 200
Bellevue, WA 98007-3908
Phone (425) 747-9494

Other names 1

  • Connect Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

14575 NE Bel Red Rd
Ste 200
Bellevue, WA 98007
Phone (425) 747-9494

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1144718453",
    "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": "425-747-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 NE BEL RED RD STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073908",
            "telephone_number": "425-747-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPER SMILE COMPANY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "EIMER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "425-747-9494"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "60772626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.