Individual provider Active NPI

Timothy James Hoopes, DDS

  • General Practice Dentistry
  • Redondo Beach, CA
National Provider Identifier
1699808170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40614 Issued in CA
Practice address
1921 S Catalina Ave
Suite 4
Redondo Beach, CA 90277-5516
Phone
(310) 378-7494
Fax
(310) 378-6550
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40614 CA Primary

Addresses

Primary practice location

1921 S Catalina Ave
Suite 4
Redondo Beach, CA 90277-5516

Mailing address

1921 S Catalina Ave
Suite 4
Redondo Beach, CA 90277-5516
Phone (310) 378-7494

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40614CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy J Hoopes DDS Inc. CurrentSince May 16, 2021 Accepting new patients
Ariel J. Rodriguez Dental Office of Redondo Beach, Inc PastSince Feb 19, 2023 Accepting new patients

Locations

1921 S Catalina Ave
Ste 4
Redondo Beach, CA 90277
Phone (310) 378-7494

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699808170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S CATALINA AVE",
            "address_2": "SUITE 4",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775516",
            "telephone_number": "310-378-7494",
            "fax_number": "310-378-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S CATALINA AVE",
            "address_2": "SUITE 4",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775516",
            "telephone_number": "310-378-7494",
            "fax_number": "310-378-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPES",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.