Active NPI
Hopkins Family Dentistry LLC
- Dentist
- St Simons Island, GA
National Provider Identifier
1700286291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014669
- Legal business name
- HOPKINS FAMILY DENTISTRY LLC
- Practice address
- 300 Main St
Suite 101
St Simons Island, GA 31522-1666 - Phone
- (912) 638-9001
- NPI assigned
- Sep 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Thomas Hopkins III, D.M.D.
- Title
- Dentist
- Phone
- (770) 468-4685
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN014669 | GA | Primary |
Addresses
Primary practice location
300 Main St
Suite 101
St Simons Island, GA 31522-1666
Mailing address
300 Main St
Suite 101
St Simons Island, GA 31522-1666
Phone (912) 638-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190122001206 | GA | DME Supplier - Oral Surgery - Dentist | 4688911266 | Practice locations: St Simons Island, GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Saint Simons Island, GA
- NPI 1811330301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1700286291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"address_2": "SUITE 101",
"city": "ST SIMONS ISLAND",
"state": "GA",
"postal_code": "315221666",
"telephone_number": "912-638-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"address_2": "SUITE 101",
"city": "ST SIMONS ISLAND",
"state": "GA",
"postal_code": "315221666",
"telephone_number": "912-638-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPKINS FAMILY DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-03",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "HOPKINS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "770-468-4685",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": "DN014669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Simons Island, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.