DR. MATTHEW T POPP (NPI# 1194073817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194073817 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW T POPP |
| Credential | DDS |
| Practice Address |
4700 Las Vegas Blvd N Nellis Afb NV 89191-6600 |
| Mailing Address |
4700 Las Vegas Blvd N Nellis Afb NV 89191 |
| Practice Telephone | (702) 653-2600 |
| Mailing Telephone | (702) 653-2600 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2017-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
28078 | TX | Dental Providers |
| Street Address |
4700 LAS VEGAS BLVD N |
| City | NELLIS AFB |
| State | NV |
| Zip Code | 89191-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445389 | Frank J Andriola | Internal Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2005-05-23 |
| 1245837392 | Cameron Springer | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-10-01 |
| 1063026474 | Haley Suzanne Emery | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-09-02 |
| 1033729991 | Brock Shaw | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-08-05 |
| 1801404397 | Madelyn Danielle Golden | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-07-21 |
| 1114544103 | Jami Myong Reece | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-25 |
| 1225654296 | Leah Corr | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-24 |
| 1821614405 | Aubrey Amanda Blanchette | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-19 |
| 1346866290 | Shelbi Diane Duncan | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-17 |
| 1235751538 | Howard Luong | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689994923 | Paul Kenneth Clark IIi | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2010-06-09 |
| 1356582993 | David M Raper | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2009-03-11 |
| 1932302486 | Shannon Katharine Barnhart | Dentist | 4700 Las Vegas Blvd N, 99th Dental Squadron- Mofmc, Nellis Afb, NV 89191-6600 | 2007-06-11 |
| 1952383002 | Wayne H Dudley | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066904 | Falke Oral & Facial Surgery, LLC | Dentist | 475 Somersett Pkwy Ste B, Reno, NV 89523-4924 | 2020-05-29 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1063061976 | Axiom Dentistry, LLC | Dentist | 8965 S Eastern Ave # 110, Las Vegas, NV 89123-4891 | 2019-09-04 |
| 1922657808 | Axiom Dentistry, LLC | Dentist | 410 S Rampart Blvd Ste 360, Las Vegas, NV 89145-5730 | 2019-09-04 |
| 1922533785 | Providence Dental Dhillon Pllc | Dentist | 10965 Lavender Hill Dr, # 6200, Las Vegas, NV 89135-2950 | 2017-04-28 |
| 1790136380 | Jordan Swarbrick | Dentist | 6180 N Decatur Blvd Ste 100, Las Vegas, NV 89130-1505 | 2016-06-25 |
| 1861848400 | Kevin Nowins | Dentist | 630 S Rancho Dr Ste B, Las Vegas, NV 89106-4849 | 2016-05-13 |
| 1275902504 | Katherine A. Keeley, Md, PC | Dentist | 2649 Wigwam Pkwy Ste 102, Henderson, NV 89074-7310 | 2015-09-16 |
| 1922489350 | Falk Oral & Facial Surgery, Pllc | Dentist | 6200 North Durango Drive, Suite 100, Las Vegas, NV 89149-4408 | 2015-06-11 |
| 1760739825 | Michael S Moody | Dentist | 6200 N Durango Dr Ste 100, Las Vegas, NV 89149 | 2012-08-08 |
| Find all providers with the same taxonomy | ||||
| City | NELLIS AFB |
| Zip Code | 89191 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.