Individual provider Active NPI

Yelena Popkova, D.D.S.

  • General Practice Dentistry
  • Merrimack, NH
National Provider Identifier
1265680029
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04204 Issued in NH
Practice address
32 Daniel Webster Hwy
Suite #13
Merrimack, NH 03054-4823
Phone
(603) 595-9400
Fax
(603) 598-6650
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 04204 NH Primary

Addresses

Primary practice location

32 Daniel Webster Hwy
Suite #13
Merrimack, NH 03054-4823

Mailing address

32 Daniel Webster Hwy
Suite #13
Merrimack, NH 03054-4823
Phone (603) 595-9400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04204NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ned T. Bitsack, D.D.S. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1265680029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DANIEL WEBSTER HWY",
            "address_2": "SUITE #13",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544823",
            "telephone_number": "603-595-9400",
            "fax_number": "603-598-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 DANIEL WEBSTER HWY",
            "address_2": "SUITE #13",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544823",
            "telephone_number": "603-595-9400",
            "fax_number": "603-598-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKOVA",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.