Active NPI
John Carter Hoppin, DDS
- Periodontics
- Saint Charles, MO
National Provider Identifier
1053472100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 11530
- Practice address
- 1 Westbury Dr
Ste 300 BLDG C
St Charles, MO 63301-2541 - Phone
- (636) 946-9890
- Fax
- (636) 946-7195
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 11530 | MO | Primary |
Addresses
Primary practice location
1 Westbury Dr
Ste 300 BLDG C
St Charles, MO 63301-2541
Mailing address
14301 Conway Rd
Chesterfield, MO 63017
Phone (314) 469-3320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11530 | Other | MO | STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11530 | MO | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Hoppin, DDS., PC | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Periodontics
- Saint Charles, MO
- NPI 1679804157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053472100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 CONWAY RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63017",
"telephone_number": "314-469-3320",
"fax_number": "314-469-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WESTBURY DR",
"address_2": "STE 300 BLDG C",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "633012541",
"telephone_number": "636-946-9890",
"fax_number": "636-946-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPIN",
"first_name": "JOHN",
"middle_name": "CARTER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MO",
"license": "11530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "11530",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.