Active NPI
Daniel Popper
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
National Provider Identifier
1730731563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 062511
- Practice address
- 245 E 21St St
New York, NY 10010-6410 - Phone
- (212) 392-6520
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24365 | FL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 062511 | NY | Primary |
Addresses
Primary practice location
245 E 21St St
New York, NY 10010-6410
Mailing address
223 W 14TH St Apt 1B
New York, NY 10011-7167
Phone (561) 317-9273
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 |
|---|---|---|---|
| 24365 | FL | MD | Dentist |
| 062511 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida | Dentist | Past | Accepting new patients |
| Faculty Associates, Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Gainesville, FL
- NPI 1053726778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1730731563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 W 14TH ST APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117167",
"telephone_number": "561-317-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E 21ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106410",
"telephone_number": "212-392-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPER",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2023-08-02",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "24365",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "062511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.