Organization Active NPI

Soper Enterprises Kent PLLC

Doing business as Advanced Orthodontics Kent

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kent, WA
National Provider Identifier
1477008175
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7807 Issued in WA
Legal business name
SOPER ENTERPRISES KENT PLLC
Doing business as
Advanced Orthodontics Kent
Practice address
331 3Rd Ave S
Kent, WA 98032-5844
Phone
(253) 852-7210
Fax
(253) 850-9032
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Barton L Soper, DDS MS PLLCNPI 1942381215
Title
Owner
Phone
(425) 747-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7807 WA Primary

Addresses

Primary practice location

331 3Rd Ave S
Kent, WA 98032-5844

Mailing address

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

Other names 1

  • Advanced Orthodontics Kent Doing business as

National Provider Directory

National Provider Directory

Locations

331 3rd Ave S
Kent, WA 98032
Phone (253) 852-7210

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1477008175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 BEL RED RD",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073908",
            "telephone_number": "425-747-9494",
            "fax_number": "425-747-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 3RD AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325844",
            "telephone_number": "253-852-7210",
            "fax_number": "253-850-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPER ENTERPRISES KENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "BARTON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-747-9494",
        "authorized_official_credential": "DDS MS PLLC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "7807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Orthodontics Kent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

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