Individual provider Active NPI

Lisa B. Popkoff, D.D.S.

  • Dentist
  • Simi Valley, CA
National Provider Identifier
1881896793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39069 Issued in CA
Practice address
1755 Erringer Rd
Suite 10
Simi Valley, CA 93065-6507
Phone
(818) 268-2766
NPI assigned
Jun 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39069 CA Primary

Addresses

Primary practice location

1755 Erringer Rd
Suite 10
Simi Valley, CA 93065-6507

Mailing address

10920 Delco Ave
Chatsworth, CA 91311-1705
Phone (818) 882-3237

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

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881896793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 DELCO AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111705",
            "telephone_number": "818-882-3237",
            "fax_number": "818-882-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 ERRINGER RD",
            "address_2": "SUITE 10",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656507",
            "telephone_number": "818-268-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKOFF",
        "first_name": "LISA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.