William M. Soper, DDS

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

D4777 Issued in OR

Legal business name

WILLIAM M. SOPER, DDS

Practice address

1275 Oregon Ave
Bandon, OR 97411

Phone

(541) 347-4321

Fax

(541) 347-4321

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Carrie Jean Soper

Title

Office Manager/Owner

Phone

(541) 347-4321

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• James Ryan Surface, DMD

  • Dentist
  • Bandon, OR
  • NPI 1114205028
  NPD (past)
• Audra Morgan, DMD

  • Dentist
  • Richland, WA
  • NPI 1467975789
  NPD (past)

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1790083509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974110470",
            "telephone_number": "541-347-4321",
            "fax_number": "541-347-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 OREGON AVE",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "97411",
            "telephone_number": "541-347-4321",
            "fax_number": "541-347-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. SOPER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "541-347-4321"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "D4777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Elaine Vecera, LAC
• Ivy Christine Wagner, DBH, LCSW
• Susan Folmar Wagner, QMHP, MS
• Gabrielle Schaefer Weishoff, D.M.D.
• Well Within
• Stephen Wilson, RPH
• Nicole Lavee Woolley
• Suzanne Yost, F.N.P.

• Preferred Provider Organization in Bandon, OR
• Providers in Bandon, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.