Active NPI
Charles Paul Hoppe II, L/CPO
- Prosthetist
- Renton, WA
National Provider Identifier
1548866882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS60697257
- Practice address
- 350 S 38TH CT Ste 110
Renton, WA 98055-5777 - Phone
- (425) 226-5922
- NPI assigned
- Dec 10, 2020
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OI60545479 | WA | |
| Prosthetist | 224P00000X | PS60697257 | WA | Primary |
Addresses
Primary practice location
350 S 38TH CT Ste 110
Renton, WA 98055-5777
Mailing address
350 S 38TH CT Ste 110
Renton, WA 98055-5777
Phone (425) 226-5922
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OI60545479 | WA | MD | Orthotist |
| PS60697257 | WA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1548866882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S 38TH CT STE 110",
"city": "RENTON",
"state": "WA",
"postal_code": "980555777",
"telephone_number": "425-226-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 38TH CT STE 110",
"city": "RENTON",
"state": "WA",
"postal_code": "980555777",
"telephone_number": "425-226-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPE",
"first_name": "CHARLES",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "L/CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "OI60545479",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS60697257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.