Individual provider Active NPI

Debra M Hopp, D.C.

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1699710335
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006630 Issued in FL
Practice address
3321 Del Prado Blvd S
Ste 10
Cape Coral, FL 33904-7263
Phone
(239) 540-1300
Fax
(239) 540-1110
NPI assigned
Jun 17, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006630 FL Primary

Addresses

Primary practice location

3321 Del Prado Blvd S
Ste 10
Cape Coral, FL 33904-7263

Mailing address

3321 Del Prado Blvd S
Ste 10
Cape Coral, FL 33904-7263
Phone (239) 540-1300

Other identifiers 1

IdentifierTypeStateIssuer
380697900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001453 FL Practitioner - Chiropractic 2860518826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3321 Del Prado Blvd S
Suite 10
Cape Coral, FL 33904-7263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006630FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Debra M. Hopp, D.C., P.a. Chiropractor CurrentSince Jul 27, 2010 Accepting new patients

Locations

3321 Del Prado Blvd S
Ste 10
Cape Coral, FL 33904
Phone (239) 540-1300

4639 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 540-1300

Interoperability endpoints

  • Direct secure messaging: drhopp@debramhopp.myhcdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1699710335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 DEL PRADO BLVD S",
            "address_2": "STE 10",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047263",
            "telephone_number": "239-540-1300",
            "fax_number": "239-540-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 DEL PRADO BLVD S",
            "address_2": "STE 10",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047263",
            "telephone_number": "239-540-1300",
            "fax_number": "239-540-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPP",
        "first_name": "DEBRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380697900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.