Individual provider Active NPI

Jeremiah Hoopes, DC

  • Chiropractor
  • Brigham City, UT
National Provider Identifier
1881652535
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
52071761202 Issued in UT
Practice address
770 So 200 E
Suite 102
Brigham City, UT 84302
Phone
(435) 723-0517
Fax
(435) 723-0587
NPI assigned
May 3, 2006
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 52071761202 UT Primary

Addresses

Primary practice location

770 So 200 E
Suite 102
Brigham City, UT 84302

Mailing address

770 S 200 E
Suite 102
Brigham City, UT 84302-3387
Phone (435) 723-0517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061103000320 UT Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 5991702938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College - West, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

770 S 200
Suite 102
Brigham City, UT 84302-3387
Phone (435) 723-0517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52071761202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Medical Center LLC Chiropractor PastSince Sep 9, 2016 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, 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1881652535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 S 200 E",
            "address_2": "SUITE 102",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023387",
            "telephone_number": "435-723-0517",
            "fax_number": "435-723-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SO 200 E",
            "address_2": "SUITE 102",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "84302",
            "telephone_number": "435-723-0517",
            "fax_number": "435-723-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPES",
        "first_name": "JEREMIAH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "52071761202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.