Active NPI
Kay S Hoppers, DDS
- Dentist
- Dublin, OH
National Provider Identifier
1861519449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17485
- Practice address
- 5155 Bradenton Ave
Ste 110
Dublin, OH 43017 - Phone
- (614) 798-0083
- Fax
- (614) 764-9184
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 17485 | OH | Primary |
Addresses
Primary practice location
5155 Bradenton Ave
Ste 110
Dublin, OH 43017
Mailing address
5581 Whimpstone CT
Columbus, OH 43235
Phone (614) 538-0876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0547359 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17485 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillip Elmo D.D.S., Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861519449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5581 WHIMPSTONE CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43235",
"telephone_number": "614-538-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5155 BRADENTON AVE",
"address_2": "STE 110",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43017",
"telephone_number": "614-798-0083",
"fax_number": "614-764-9184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPPERS",
"first_name": "KAY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "17485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0547359",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
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.