Active NPI
Jennifer Hopfensperger, DDS
- General Practice Dentistry
- Elizabeth City, NC
National Provider Identifier
1376105197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 151226
- Practice address
- 1161 N Road St
Elizabeth City, NC 27909-3388 - Phone
- (252) 331-7225
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 151226 | NC | Primary |
Addresses
Primary practice location
1161 N Road St
Elizabeth City, NC 27909-3388
Mailing address
121 Helen St
Midland, MI 48640-5601
Phone (989) 430-7676
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200108001812 | MI | Order and Referring Only - Dentist | 9830524453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151226 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1376105197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 HELEN ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486405601",
"telephone_number": "989-430-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093388",
"telephone_number": "252-331-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPFENSPERGER",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "151226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.