Active NPI
William C Popik, MD
- Family Medicine Physician
- Hartford, CT
National Provider Identifier
1366679565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 035292
- Practice address
- 90 Goodwin Cir
Hartford, CT 06105-5205 - Phone
- (860) 798-1989
- NPI assigned
- Jun 15, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 035292 | CT | Primary |
Addresses
Primary practice location
90 Goodwin Cir
Hartford, CT 06105-5205
Mailing address
90 Goodwin Cir
Hartford, CT 06105-5205
Phone (860) 798-1989
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G23638 | Other | CA | STATE LICENSE |
| 035292 | Other | CT | STATE LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035292 | CT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1366679565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 GOODWIN CIR",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061055205",
"telephone_number": "860-798-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 GOODWIN CIR",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061055205",
"telephone_number": "860-798-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPIK",
"first_name": "WILLIAM",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-15",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "035292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G23638",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "035292",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.