Organization Active NPI

Jeffrey D Hopkins DDS MD PA

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1578711362
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
J7279 Issued in TX
Legal business name
JEFFREY D HOPKINS DDS MD PA
Practice address
3450 W Wheatland Rd
425
Dallas, TX 75237-3470
Phone
(972) 298-6641
Fax
(972) 298-2749
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Dr. Jeffrey Donald Hopkins, MDNPI 1881670172
Title
Physician/Owner
Phone
(972) 298-6641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X J7279 TX Primary

Addresses

Primary practice location

3450 W Wheatland Rd
425
Dallas, TX 75237-3470

Mailing address

3450 W Wheatland Rd
Suite 425
Dallas, TX 75237-3470
Phone (972) 298-6641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150202001025 TX Part B Supplier - Clinic/Group Practice 1456676063 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3450 W Wheatland Rd
Ste 425
Dallas, TX 75237
Phone (972) 298-6641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1578711362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "SUITE 425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-298-6641",
            "fax_number": "972-298-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-298-6641",
            "fax_number": "972-298-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D HOPKINS DDS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-298-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "J7279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.