Jess Clinton Hopkin, DDS
Individual provider Active NPI General Practice Dentistry · Morgan, UT
NPI 1003975780 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003975780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 344398-9922 (UT)
- Practice address
- 209 South State St Suite 'a'
Morgan, UT 84050 - Phone
- (801) 845-9090
- Fax
- (801) 845-9109
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525000835 | WA | Order and Referring Only - Dentist |
3173812518 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344398-9922 | UT | MD | General Practice Dentistry |
Interoperability endpoints
- jess.hopkin.1@16258.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 344398-9922 | UT | Yes |
Addresses
Primary practice location
209 South State St Suite 'a'
Morgan, UT 84050
Mailing address
PO Box 21
209 S. State Suite 'a'
Morgan, UT 84050-0021
Phone (801) 845-9090
Other providers in Morgan, UT
- Daniel Goodrich
- David Griffith
- H N a of Utah Inc
- Christine N Hall
- Kurtis Hinderman
- Hti Physician Services of Utah, Inc
- Courtney Hughes
- Patti B Johnson
- Anna Marie McMillan Jones
- Kristen Korth
All providers in Morgan, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.