Active NPI
Jason P Popper, DDS
- Periodontics
- Melville, NY
National Provider Identifier
1467574020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 051411-1
- Practice address
- 999 Walt Whitman Rd
Suite 302
Melville, NY 11747-3007 - Phone
- (631) 385-9400
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 051411-1 | NY | Primary |
Addresses
Primary practice location
999 Walt Whitman Rd
Suite 302
Melville, NY 11747-3007
Mailing address
999 Walt Whitman Rd
Suite 302
Melville, NY 11747-3007
Phone (631) 385-9400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051411-1 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard a. Popper, DDS | 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.
-
- Prosthodontics
- Melville, NY
- NPI 1043675424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296950400000",
"number": "1467574020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 WALT WHITMAN RD",
"address_2": "SUITE 302",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473007",
"telephone_number": "631-385-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 WALT WHITMAN RD",
"address_2": "SUITE 302",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473007",
"telephone_number": "631-385-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPER",
"first_name": "JASON",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2011-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "051411-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.