Individual provider Active NPI

Jeannine Hopfensperger, D.D.S.

  • Dentist
  • Chesaning, MI
National Provider Identifier
1255424271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012503 Issued in MI
Practice address
371 S Line St
Chesaning, MI 48616-1334
Phone
(989) 845-7655
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Dentist 122300000X 012503 MI Primary

Addresses

Primary practice location

371 S Line St
Chesaning, MI 48616-1334

Mailing address

371 S Line St
Chesaning, MI 48616-1334
Phone (989) 845-7655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151209001011 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274834619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012503MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehinger & Hopfensperger Dentistry PLLC Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255424271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 S LINE ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161334",
            "telephone_number": "989-845-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 S LINE ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161334",
            "telephone_number": "989-845-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPFENSPERGER",
        "first_name": "JEANNINE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "012503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesaning, MI

Sources for this page

Verify at the official NPI Registry.