Organization Active NPI

Soper Enterprises Everett, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Everett, WA
National Provider Identifier
1962088252
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Mar 18, 2021

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.