Individual provider Active NPI

Prashant Poplai, DDS

  • Dentist
  • Arbuckle, CA
National Provider Identifier
1407288509
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64057 Issued in CA
Practice address
89 Putnam Way
Arbuckle, CA 95912-9814
Phone
(530) 476-2200
NPI assigned
Jul 31, 2013
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D9927 OR
Dentist 122300000X 64057 CA Primary

Addresses

Primary practice location

89 Putnam Way
Arbuckle, CA 95912-9814

Mailing address

89 Putnam Way
Arbuckle, CA 95912-9814
Phone (530) 476-2200

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

LicenseStateTypeSpecialty
D9927ORMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1407288509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 PUTNAM WAY",
            "city": "ARBUCKLE",
            "state": "CA",
            "postal_code": "959129814",
            "telephone_number": "530-476-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 PUTNAM WAY",
            "city": "ARBUCKLE",
            "state": "CA",
            "postal_code": "959129814",
            "telephone_number": "530-476-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPLAI",
        "first_name": "PRASHANT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9927",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arbuckle, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.