Active NPI
Stephen Hooper
- Transportation Broker
- Manton, MI
National Provider Identifier
1093287203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 5803000052
- Practice address
- 212 Pine St
Manton, MI 49663-9128 - Phone
- (231) 429-6173
- NPI assigned
- Dec 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 5803000052 | MI | Primary |
Addresses
Primary practice location
212 Pine St
Manton, MI 49663-9128
Mailing address
724 Indian Trail Blvd
Traverse City, MI 49686-3536
Other names 1
- Knight Services
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5803000052 | MI | MD | Transportation Broker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1093287203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 INDIAN TRAIL BLVD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 PINE ST",
"city": "MANTON",
"state": "MI",
"postal_code": "496639128",
"telephone_number": "231-429-6173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "MI",
"license": "5803000052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KNIGHT",
"last_name": "SERVICES",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Manton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.