Jaclyn Rickoff Hopen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011976A Issued in IN

Practice address

1980 E 116TH St
Suite 150
Carmel, IN 46032-3599

Phone

(317) 848-1771

NPI assigned

Jun 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jaclyn Marie Rickoff Professional name

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carmel Dental Care, PC

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1124121793

  General Practice

  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1922446673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 E 116TH ST",
            "address_2": "SUITE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323599",
            "telephone_number": "317-848-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 E 116TH ST",
            "address_2": "SUITE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323599",
            "telephone_number": "317-848-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPEN",
        "first_name": "JACLYN",
        "middle_name": "RICKOFF",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011976A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "RICKOFF",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Krista Hoose, PHARMD
• Hoosier Foot & Ankle LLC
• Hoosier Sole Mate, Inc
• Hope Chiropractic LLC
• Hope Psychological Services, P.C.
• Michael L Hopen, M.D.
• Hopesprings of Indiana, LLC
• Hopewell Healthcare LLC
• Brean Hopf
• Brendan Hopkins, RBT

• All providers in Carmel, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.