Organization Active NPI

Pope Place, PLLC

  • Dentist
  • Meridian, ID
National Provider Identifier
1760094007
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
POPE PLACE, PLLC
Practice address
2201 E Gala St
Meridian, ID 83642-2798
Phone
(208) 965-9415
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Sean Wasden, MHS
Title
Operations Manager
Phone
(208) 965-9415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2201 E Gala St
Meridian, ID 83642-2798

Mailing address

203 7TH Ave S
Nampa, ID 83651-3846

National Provider Directory

National Provider Directory

Locations

2201 E Gala St
Meridian, ID 83642
Phone (208) 888-3033

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1760094007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 7TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422798",
            "telephone_number": "208-965-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE PLACE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "WASDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "208-965-9415",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.