Active NPI
Carissa R Hopkins, DENTAL HYGIENIST
- Dental Hygienist
- Middletown, NY
National Provider Identifier
1407047020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 024818
- Practice address
- 27 North Street
Middletown, NY 10940 - Phone
- (845) 342-3900
- Fax
- (845) 343-5390
- NPI assigned
- Aug 8, 2007
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 024818 | NY | Primary |
Addresses
Primary practice location
27 North Street
Middletown, NY 10940
Mailing address
PO Box 987
21 Orchard Street
Middletown, NY 10940
Phone (845) 343-7614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355931 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1407047020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 987",
"address_2": "21 ORCHARD STREET",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-343-7614",
"fax_number": "845-343-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 NORTH STREET",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-342-3900",
"fax_number": "845-343-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "CARISSA",
"middle_name": "R",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "024818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355931",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.