Active NPI
Soper Enterprises Everett, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Everett, WA
National Provider Identifier
1962088252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SOPER ENTERPRISES EVERETT, PLLC
- Practice address
- 12806 3Rd Ave SE
Everett, WA 98208-6455 - Phone
- (425) 745-6322
- Fax
- (425) 743-0326
- NPI assigned
- Mar 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Eimer
- Title
- Billing Specialist
- Phone
- (425) 375-8923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
12806 3Rd Ave SE
Everett, WA 98208-6455
Mailing address
14575 NE Bel Red Rd Ste 200
Bellevue, WA 98007-3908
Phone (425) 747-9494
Other names 1
- Advanced Orthodontics Everett
National Provider Directory
National Provider DirectoryLocations
14575 NE Bel Red Rd
Ste 200
Bellevue, WA 98007
Phone (425) 747-9494
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Everett, WA
- NPI 1619553583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616025600000",
"number": "1962088252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14575 NE BEL RED RD STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073908",
"telephone_number": "425-747-9494",
"fax_number": "425-747-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12806 3RD AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982086455",
"telephone_number": "425-745-6322",
"fax_number": "425-743-0326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOPER ENTERPRISES EVERETT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A",
"authorized_official_last_name": "EIMER",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "425-375-8923"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Orthodontics Everett",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.