Individual provider Active NPI

William Jonathan Hooker, D.D.S.

  • Endodontics
  • Flagstaff, AZ
National Provider Identifier
1730228339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2197 Issued in AZ
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

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
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

IdentifierTypeStateIssuer
2197OtherAZDENTAL 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.

Verify at the official NPI Registry.