Active NPI
Dustin J Hopkin, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7752965
- Practice address
- 2180 E 4500 S Ste 285
Salt Lake City, UT 84117-4028 - Phone
- (801) 277-3942
- Fax
- (801) 277-4505
- NPI assigned
- May 29, 2008
- Last updated
- Oct 31, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D-4552-OS | ID | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7752965 | UT | Primary |
Addresses
Primary practice location
2180 E 4500 S Ste 285
Salt Lake City, UT 84117-4028
Mailing address
2180 E 4500 S Ste 285
Salt Lake City, UT 84117-4028
Phone (801) 277-3942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Iowa College of Dentistry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1377 E 3900
Suite 104
Salt Lake City, UT 84124-1492
Phone (801) 277-3942
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-4552-OS | ID | MD | Oral and Maxillofacial Surgery (Dentist) |
| 7752965 | UT | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Dustin J Hopkin DDS, Oral and Maxillofacial Surgery P.C. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
1377 E 3900 S
Ste 104
Salt Lake Cty, UT 84124
Phone (801) 272-4249
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
Networks
- UT PPO D-SNP
Organizations & group practices 4
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Salt Lake City, UT
- NPI 1376827832
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
dba Valley View Physicians Billing
- Multi-Specialty Clinic/Center
- Cedar City, UT
- NPI 1659685980
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1265690028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 E 4500 S STE 285",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841174028",
"telephone_number": "801-277-3942",
"fax_number": "801-277-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 E 4500 S STE 285",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841174028",
"telephone_number": "801-277-3942",
"fax_number": "801-277-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKIN",
"first_name": "DUSTIN",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "ID",
"license": "D-4552-OS",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "UT",
"license": "7752965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.