Jacob Hopper, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09116 Issued in IA

Practice address

1008 W Pleasant St
Pleasantville, IA 50225-9546

Phone

(515) 848-3691

NPI assigned

Jun 9, 2014

Last updated

Jun 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhopper636596@direct.ochin.org

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.

• Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Leon, IA
  • NPI 1770521981
  Medicare reassignment
• Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Chariton, IA
  • NPI 1568672939
  NPD
• Klise Dentistry, PLLC

  • Dental Clinic/Center
  • Pleasantville, IA
  • NPI 1760934756
  NPD (past)
• Stone Ridge Dental PLC

  • General Practice Dentistry
  • Pleasantville, IA
  • NPI 1558523803
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1326451253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W PLEASANT ST",
            "city": "PLEASANTVILLE",
            "state": "IA",
            "postal_code": "502259546",
            "telephone_number": "515-848-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W PLEASANT ST",
            "city": "PLEASANTVILLE",
            "state": "IA",
            "postal_code": "502259546",
            "telephone_number": "515-848-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "JACOB",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09116",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi L Booth, A.R.N.P.
• Bryan Curry, EMT
• Klise Dentistry, PLLC
• Knoxville Community Hospital, Inc. (Knoxville Hospital & Clinics)
• Rebecca Lake, PHD, MS, RD, LD
• Liautaud Family Chiropractic LLC (Chiropractic Hut)
• Thomas M Mohr, DDS

• Dentist in Pleasantville, IA
• Providers in Pleasantville, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.