Gary L Hopkins, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5390 Issued in KY

Practice address

79 South Side Mall Rd
401 South Side Prof. BLDG
South Williamson, KY 41503-3975

Phone

(606) 237-0073

Fax

(606) 237-9967

NPI assigned

Aug 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083721187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SOUTH SIDE MALL RD.",
            "address_2": "401 SOUTH SIDE PROF. BLDG.",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "41503",
            "telephone_number": "606-237-0073",
            "fax_number": "606-237-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SOUTH SIDE MALL RD",
            "address_2": "401 SOUTH SIDE PROF. BLDG",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415033975",
            "telephone_number": "606-237-0073",
            "fax_number": "606-237-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in South Williamson, KY
• Providers in South Williamson, KY by specialty
• General Practice Dentistry in Kentucky

• 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.

Verify at the official NPI Registry.