Organization Active NPI

Lennard Hopper, D.D.S., P.C.

  • General Practice Dentistry
  • Deadwood, SD
National Provider Identifier
1679755474
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D0612 Issued in SD
Legal business name
LENNARD HOPPER, D.D.S., P.C.
Practice address
88 Charles St
Deadwood, SD 57732-1303
Phone
(605) 578-3810
Fax
(605) 578-3812
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Lennard Hopper, D.D.S.
Title
Owner
Phone
(605) 578-3810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D0612 SD Primary

Addresses

Primary practice location

88 Charles St
Deadwood, SD 57732-1303

Mailing address

88 Charles St
Deadwood, SD 57732-1303
Phone (605) 578-3810

Other names 1

  • Deadwood Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1679755474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CHARLES ST",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577321303",
            "telephone_number": "605-578-3810",
            "fax_number": "605-578-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CHARLES ST",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577321303",
            "telephone_number": "605-578-3810",
            "fax_number": "605-578-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENNARD HOPPER, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "LENNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-578-3810",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deadwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deadwood, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.