Individual provider Active NPI

Carson Terry Hopkins, DMD

  • General Practice Dentistry
  • Pratt, KS
National Provider Identifier
1790910693
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60634 Issued in KS
Practice address
105 W 4TH St
Pratt, KS 67124-2605
Phone
(620) 672-3612
Fax
(620) 672-3314
NPI assigned
May 20, 2009
Last updated
May 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60634 KS Primary

Addresses

Primary practice location

105 W 4TH St
Pratt, KS 67124-2605

Mailing address

105 W 4TH St
Pratt, KS 67124-2605
Phone (620) 672-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20161117001345 KS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961780028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Family Dental, P.a. General Practice Current Accepting new patients
L Ronald Ingram DDS PA General Practice Past Accepting new patients

Locations

105 W 4th St
Pratt, KS 67124
Phone (620) 231-5310

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1790910693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 4TH ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242605",
            "telephone_number": "620-672-3612",
            "fax_number": "620-672-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 4TH ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242605",
            "telephone_number": "620-672-3612",
            "fax_number": "620-672-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "CARSON",
        "middle_name": "TERRY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

Verify at the official NPI Registry.