Drew Popper

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN21755 Issued in FL

Practice address

9970 Central Park Blvd N Ste 305
Boca Raton, FL 33428-2237

Phone

(561) 210-7788

Fax

(561) 510-2603

NPI assigned

Aug 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Drew Popper DMD PA

  • Dental Clinic/Center
  • Boca Raton, FL
  • NPI 1508305657
  NPD Authorized official
• LW Pediatric Dentistry PA

  • Pediatric Dentistry
  • Lake Worth, FL
  • NPI 1104450121
  NPD Authorized official
• RPB Pediatric Dentistry PA

  • Pediatric Dentistry
  • Royal Palm Beach, FL
  • NPI 1881382802
  NPD Authorized official

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1922407964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-210-7788",
            "fax_number": "561-510-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 305",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-210-7788",
            "fax_number": "561-510-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Clint Moore Rd",
            "address_2": "Suite D102",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334961038",
            "country_code": "US",
            "telephone_number": "561-210-7788",
            "fax_number": "561-510-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPPER",
        "first_name": "DREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN21755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017151100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Pomeranz, L.M.H.C.
• Angela Patricia Pomilio, APRN
• Carlos Ponce
• Zuleyka Ponce
• Kenneth Pooa
• Lori Popper, ARNP
• Eden Porat
• Stacie Poritz
• Michelle Port
• Lee A Porterfield, M.D.

• Pediatric Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.