Active NPI
Nathan Daniel Hopkins, DDS
- General Practice Dentistry
- Fayetteville, TN
National Provider Identifier
1982386629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12228
- Practice address
- 1000 Washington St W Ste a
Fayetteville, TN 37334-2872 - Phone
- (931) 433-3231
- NPI assigned
- Aug 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12228 | TN | Primary |
Addresses
Primary practice location
1000 Washington St W Ste a
Fayetteville, TN 37334-2872
Mailing address
2314 Mingo Rd
Winchester, TN 37398-3631
Phone (931) 636-5207
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 |
|---|---|---|---|
| 12228 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1982386629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 MINGO RD",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373983631",
"telephone_number": "931-636-5207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WASHINGTON ST W STE A",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342872",
"telephone_number": "931-433-3231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "NATHAN",
"middle_name": "DANIEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.