Active NPI
John Hipp
- Anatomic Pathology Physician
- Bismarck, ND
National Provider Identifier
1598876807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 3385
- Practice address
- 3502 Franklin Ave
Bismarck, ND 58503-0761 - Phone
- (701) 222-2480
- Fax
- (701) 222-4537
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 3385 | ND | Primary |
Addresses
Primary practice location
3502 Franklin Ave
Bismarck, ND 58503-0761
Mailing address
PO Box 2036
Bismarck, ND 58502-2036
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17512 | Medicaid | ND | |
| 1496 | Other | ND | BLUE SHIELD |
| CO4118 | Other | ND | RR MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3385 | ND | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1598876807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2036",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585022036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 FRANKLIN AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030761",
"telephone_number": "701-222-2480",
"fax_number": "701-222-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIPP",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "ND",
"license": "3385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17512",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1496",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CO4118",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.