John C Popenoe, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009972 Issued in WA

Practice address

3943 116TH St NE Ste 103
Marysville, WA 98271-8448

Phone

(360) 651-9580

Fax

(360) 651-9527

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1679564876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 SW AUSTIN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362110",
            "telephone_number": "206-938-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 116TH ST NE STE 103",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718448",
            "telephone_number": "360-651-9580",
            "fax_number": "360-651-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPENOE",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Pilarski, DO
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• Elrica Michelle Dy PO
• Loretta M Poat, OT
• Michelle Porter, LMP
• Dick Duane Pouliot, LMP
• Kasra Pournadeali, N.D.
• Jordan Powell, MSW, LICSW
• Malin Powell, LMT

• General Practice Dentistry in Marysville, WA
• Providers in Marysville, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.