Individual provider Active NPI

Jess Clinton Hopkin, DDS

  • General Practice Dentistry
  • Morgan, UT
National Provider Identifier
1003975780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
344398-9922 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 344398-9922 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000835 WA Order and Referring Only - DentistPractitioner - Dentist 3173812518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
344398-9922UTMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: jess.hopkin.1@16258.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003975780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "address_2": "209 S. STATE SUITE 'A'",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840500021",
            "telephone_number": "801-845-9090",
            "fax_number": "801-845-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SOUTH STATE ST SUITE 'A'",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "84050",
            "telephone_number": "801-845-9090",
            "fax_number": "801-845-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKIN",
        "first_name": "JESS",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "344398-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan, UT

Sources for this page

Verify at the official NPI Registry.