Individual provider Active NPI

Elyssa Jo Hoopes, DMD

  • General Practice Dentistry
  • Las Vegas, NM
National Provider Identifier
1750695003
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8042 Issued in AZ
Practice address
711 6TH St
Las Vegas, NM 87701-4352
Phone
(505) 425-7574
Fax
(505) 425-7554
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8042 AZ Primary
General Practice Dentistry 1223G0001X DD3409 NM

Addresses

Primary practice location

711 6TH St
Las Vegas, NM 87701-4352

Mailing address

711 6TH St
Las Vegas, NM 87701-4352
Phone (505) 425-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827002289 CA Order and Referring Only - DentistPractitioner - Dentist 1355657982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8042AZMDGeneral Practice Dentistry
DD3409NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sanchez Dental LLC Past Accepting new patients
Highlands Family Dental General Practice Past Accepting new patients
Canyon Lakes Dental Group and Orthodontics, LLP General Practice Past Accepting new patients

Organizations & group practices 3

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1750695003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 6TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014352",
            "telephone_number": "505-425-7574",
            "fax_number": "505-425-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 6TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014352",
            "telephone_number": "505-425-7574",
            "fax_number": "505-425-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPES",
        "first_name": "ELYSSA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8042",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.