Individual provider Active NPI

Paul Mathias Hoppe, DDS

  • Dentist
  • Rancho Santa Margarita, CA
National Provider Identifier
1558385575
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44601 Issued in CA
Practice address
29861 Santa Margarita Pkwy Ste 200
Rancho Santa Margarita, CA 92688-3624
Phone
(949) 975-9932
NPI assigned
Jul 26, 2006
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44601 CA Primary
General Practice Dentistry 1223G0001X 44601 CA

Addresses

Primary practice location

29861 Santa Margarita Pkwy Ste 200
Rancho Santa Margarita, CA 92688-3624

Mailing address

90 Vantis Dr Unit 5047
Aliso Viejo, CA 92656-2540
Phone (949) 975-9932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20161206001580 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305157017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44601CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoppe Dental Corporation Dentist CurrentSince Aug 25, 2019 Accepting new patients
Cruz-Hoppe Dental Corporation General Practice Past Accepting new patients

Locations

29861 Santa Margarita Pkwy
Ste 200
Rancho Santa Margarita, CA 92688
Phone (714) 709-1900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1558385575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VANTIS DR UNIT 5047",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562540",
            "telephone_number": "949-975-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29861 SANTA MARGARITA PKWY STE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883624",
            "telephone_number": "949-975-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPE",
        "first_name": "PAUL",
        "middle_name": "MATHIAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44601",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.