Douglas Graham Hoppe, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

18839 Issued in MI

Practice address

1529 Kyle Ave
Eaton Rapids, MI 48827-8908

Phone

(517) 667-7066

Fax

(517) 663-4985

NPI assigned

Dec 21, 2006

Last updated

May 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Douglas Hoppe DDS PC

  • Dental Clinic/Center
  • Eaton Rapids, MI
  • NPI 1710733647
  NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1609930924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 KYLE ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488278908",
            "telephone_number": "517-663-4911",
            "fax_number": "517-663-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 KYLE AVE",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488278908",
            "telephone_number": "517-667-7066",
            "fax_number": "517-663-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPE",
        "first_name": "DOUGLAS",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "18839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joyful Haven Living Assisted

• Dentist in Eaton Rapids, MI
• Providers in Eaton Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.