Active NPI
Soper Enterprises-Burien II, PLLC
Doing business as Advanced Kids Dentistry Burien
- Pediatric Dentistry
- Burien, WA
National Provider Identifier
1962197087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SOPER ENTERPRISES-BURIEN II, PLLC
- Doing business as
- Advanced Kids Dentistry Burien
- Practice address
- 15105 5TH Ave SW
Burien, WA 98166-3072 - Phone
- (206) 210-5622
- Fax
- (206) 210-5621
- NPI assigned
- Apr 5, 2023
- Last updated
- Apr 5, 2023
- Organization subpart
- Yes
- Parent organization
- ADVANCED MANAGEMENT SERVICES COLLECTIVE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barton L Soper, DDS, MS, PLLC
- Title
- Owner
- Phone
- (425) 747-9494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
15105 5TH Ave SW
Burien, WA 98166-3072
Mailing address
15105 5TH Ave SW
Burien, WA 98166-3072
Phone (206) 210-5622
Other names 1
- Advanced Kids Dentistry Burien
National Provider Directory
National Provider Directory- Part of
- Soper Enterprises-Burien II PLLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bellevue, WA
- NPI 1942381215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680652800000",
"number": "1962197087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15105 5TH AVE SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663072",
"telephone_number": "206-210-5622",
"fax_number": "206-210-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15105 5TH AVE SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663072",
"telephone_number": "206-210-5622",
"fax_number": "206-210-5621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOPER ENTERPRISES-BURIEN II, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED MANAGEMENT SERVICES COLLECTIVE",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A",
"authorized_official_last_name": "SOPER",
"authorized_official_first_name": "BARTON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-747-9494",
"authorized_official_credential": "DDS, MS, PLLC"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Kids Dentistry Burien",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.