NPIMap

Organization Active NPI

Suzanne M. M. Popp, DDS, Inc

Doing business as Advanced Cosmetic Dentistry

  • Dentist
  • Coronado, CA
National Provider Identifier
1487136735
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102831 Issued in CA
Legal business name
SUZANNE M. M. POPP, DDS, INC
Doing business as
Advanced Cosmetic Dentistry
Practice address
1010 8TH St Ste a
Coronado, CA 92118-2189
Phone
(619) 435-4444
Fax
(619) 435-5379
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Dr. Suzanne Popp, DDSNPI 1386759959
Title
Dentist
Phone
(619) 435-4444

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37898 CA
Dentist 122300000X 102831 CA Primary

Addresses

Primary practice location

1010 8TH St Ste a
Coronado, CA 92118-2189

Mailing address

1010 8TH St Ste a
Coronado, CA 92118-2189
Phone (619) 435-4444

Other names 1

  • Advanced Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1010 8th St
Ste A
Coronado, CA 92118
Phone (619) 435-4444

Practitioners & affiliated clinicians

Practitioners 2

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": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1487136735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 8TH ST STE A",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182189",
            "telephone_number": "619-435-4444",
            "fax_number": "619-435-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 8TH ST STE A",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182189",
            "telephone_number": "619-435-4444",
            "fax_number": "619-435-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE M. M. POPP, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "POPP",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-435-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37898",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.