NPIMap

Organization Active NPI

Hopkins Dermatology Apmc

  • Dermatology Physician
  • Southlake, TX
National Provider Identifier
1760075253
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HOPKINS DERMATOLOGY APMC
Doing business as
Hopkins Dermatology Texas PLLC
Practice address
321 W Southlake Blvd Ste 180
Southlake, TX 76092-6287
Phone
(682) 271-0988
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Ted Hopkins
Title
Manager
Phone
(318) 325-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

321 W Southlake Blvd Ste 180
Southlake, TX 76092-6287

Mailing address

2509 Broadmoor Blvd Ste a
Monroe, LA 71201-3184
Phone (682) 271-0988

Other names 1

  • Hopkins Dermatology Texas PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210602000594 TX Part B Supplier - Clinic/Group Practice 6709945272 Receives reassigned benefits from 4 practitioners
Practice locations: Southlake, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hopkins Dermatology Apmc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2509 Broadmoor Blvd
Ste A
Monroe, LA 71201
Phone (318) 325-0600

321 W Southlake Blvd
Ste 180
Southlake, TX 76092
Phone (682) 271-0988

321 W Southlake Blvd
Ste 1
Southlake, TX 76092
Phone (682) 271-0988

Practitioners & affiliated clinicians

Practitioners 7

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": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1760075253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 BROADMOOR BLVD STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013184",
            "telephone_number": "682-271-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W SOUTHLAKE BLVD STE 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926287",
            "telephone_number": "682-271-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS DERMATOLOGY APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-325-0600"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopkins Dermatology Texas PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

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

Verify at the official NPI Registry.