Organization Active NPI

William Hopson DC PC

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1710201777
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7859 Issued in TX
Legal business name
WILLIAM HOPSON DC PC
Practice address
1404 Rice Rd
Ste 400
Tyler, TX 75703-3261
Phone
(903) 581-4393
Fax
(903) 581-8511
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
William HopsonNPI 1184687048
Title
Chiropractor
Phone
(903) 581-4393

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7859 TX Primary

Addresses

Primary practice location

1404 Rice Rd
Ste 400
Tyler, TX 75703-3261

Mailing address

1404 Rice Rd
Ste 400
Tyler, TX 75703-3261
Phone (903) 581-4393

Other identifiers 1

IdentifierTypeStateIssuer
002041401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000291 TX Part B Supplier - Clinic/Group Practice 0143407098 Receives reassigned benefits from 2 practitioners
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Locations

1404 Rice Rd
Tyler, TX 75703

1404 Rice Rd
Ste 400
Tyler, TX 75703
Phone (903) 581-4393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1710201777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 RICE RD",
            "address_2": "STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033261",
            "telephone_number": "903-581-4393",
            "fax_number": "903-581-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 RICE RD",
            "address_2": "STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033261",
            "telephone_number": "903-581-4393",
            "fax_number": "903-581-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM HOPSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "903-581-4393"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002041401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.

Verify at the official NPI Registry.