Organization Active NPI

Debra M. Hopp, D.C., P.a.

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1184932873
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6630 Issued in FL
Legal business name
DEBRA M. HOPP, D.C., P.A.
Practice address
4639 Del Prado Blvd S
Cape Coral, FL 33904-7446
Phone
(239) 540-1300
Fax
(239) 540-1110
NPI assigned
Sep 16, 2010
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Debra M Hopp, D.C.NPI 1699710335
Title
Owner
Phone
(239) 540-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6630 FL Primary

Addresses

Primary practice location

4639 Del Prado Blvd S
Cape Coral, FL 33904-7446

Mailing address

4639 Del Prado Blvd S
Cape Coral, FL 33904-7446
Phone (239) 540-1300

Other identifiers 1

IdentifierTypeStateIssuer
380697900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927001420 FL Part B Supplier - Clinic/Group Practice 1951427913 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

3321 Del Prado Blvd S
Ste 10
Cape Coral, FL 33904
Phone (239) 540-1300

4639 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 540-1300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1184932873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047446",
            "telephone_number": "239-540-1300",
            "fax_number": "239-540-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047446",
            "telephone_number": "239-540-1300",
            "fax_number": "239-540-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA M. HOPP, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "HOPP",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-540-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "6630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380697900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.