Drew Popper DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN21755 Issued in FL

Legal business name

DREW POPPER DMD PA

Practice address

9970 Central Park Blvd N Ste 305
Boca Raton, FL 33428-2237

Phone

(561) 210-7788

Fax

(561) 510-2603

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Drew Popper, DMDNPI 1922407964

Title

Owner

Phone

(561) 210-7788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Junior Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Drew Popper

  • Pediatric Dentistry
  • Boca Raton, FL
  • NPI 1922407964
  NPD Authorized official

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1508305657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-210-7788",
            "fax_number": "561-510-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-210-7788",
            "fax_number": "561-510-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW POPPER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "POPPER",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-210-7788",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN21755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106205400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Junior Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Junior Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dream Recovery International LLC
• Faatimah Dreher
• David Lee Dresner, M.D.
• Rebecca Dresner
• Samuel Dresner, MD
• Drew Stein MD PLLC
• Drip Envy LLC
• Drkoval LLC
• Joanna Lauren Drowos, DO, MPH
• DRS Cohen PA Orthodontists & TMJ Associates

• Dental Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.