Active NPI
Elizabeth Sopkovich
- General Practice Dentistry
- Irmo, SC
National Provider Identifier
1811735814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DGD.10901
- Practice address
- 1028 Kinley Rd
Irmo, SC 29063-9632 - Phone
- (803) 781-0880
- NPI assigned
- Jul 16, 2024
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DGD.10901 | SC | Primary |
Addresses
Primary practice location
1028 Kinley Rd
Irmo, SC 29063-9632
Mailing address
111 Brickworks Dr Apt 1213
Cayce, SC 29033-4432
Phone (419) 705-8118
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 |
|---|---|---|---|
| DGD.10901 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1811735814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BRICKWORKS DR APT 1213",
"city": "CAYCE",
"state": "SC",
"postal_code": "290334432",
"telephone_number": "419-705-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 KINLEY RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290639632",
"telephone_number": "803-781-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPKOVICH",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "DGD.10901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
- Sallly Elizabeth Smith
- Sue Kobus Smith
- William S. Sobotowicz, PH.D.
- Solid Foundations of the Carolinas
- Melinda Elizabeth Somerville, LISW-CP
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #07012)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #05549)
- South Carolina Heart Center P a
- South Carolina Internal Medicine
- South Carolina Internal Medicine Associates and Rehabilitation,L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.