Active NPI
William Jonathan Hooker, D.D.S.
- Endodontics
- Flagstaff, AZ
National Provider Identifier
1730228339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2197
- Practice address
- 718 N Humphreys St
Suite 102
Flagstaff, AZ 86001-3046 - Phone
- (928) 774-4400
- Fax
- (928) 774-5436
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2197 | AZ | Primary |
Addresses
Primary practice location
718 N Humphreys St
Suite 102
Flagstaff, AZ 86001-3046
Mailing address
718 N Humphreys St
Suite 102
Flagstaff, AZ 86001-3046
Phone (928) 774-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2197 | Other | AZ | DENTAL LICENCES |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730228339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 N HUMPHREYS ST",
"address_2": "SUITE 102",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013046",
"telephone_number": "928-774-4400",
"fax_number": "928-774-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N HUMPHREYS ST",
"address_2": "SUITE 102",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013046",
"telephone_number": "928-774-4400",
"fax_number": "928-774-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOKER",
"first_name": "WILLIAM",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "2197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENCES",
"identifier": "2197",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
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.