Ken C Hopper MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H5512 Issued in TX

Legal business name

KEN C HOPPER MD PA

Practice address

801 Road to Six Flags W Ste 145
Arlington, TX 76012-2600

Phone

(817) 274-8800

Fax

(817) 274-8806

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ken C Hopper, M.D

Title

Owner

Phone

(817) 274-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Hopper Group Doing business as

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1669640686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W STE 145",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122600",
            "telephone_number": "817-274-8800",
            "fax_number": "817-274-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W STE 145",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122600",
            "telephone_number": "817-274-8800",
            "fax_number": "817-274-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN C HOPPER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-274-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H5512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE ID",
            "identifier": "00D38A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hopper Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Janelle Kelly-Powell, PHD
• Brittany Kelly
• Sammie Beatrice Kelly, RN
• Sherrilyn D Kelly, LMSW
• Kemunto Psychiatric Solutions LLC
• Shailyn Justice Kendrick-Dickerson, LMSW
• Susan Kendrick, APRN
• Jeremiah N Keng, DO
• Kenitra Kengga
• Charles D Kennard, M.D.

• Psychiatry Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.