Raymon Allen Hooper, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10125 Issued in TX

Practice address

1420 W Southwest Loop 323
Suite #4
Tyler, TX 75701-9347

Phone

(903) 561-9535

Fax

(903) 561-5354

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982614624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W SOUTHWEST LOOP 323",
            "address_2": "SUITE #4",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019347",
            "telephone_number": "903-561-9535",
            "fax_number": "903-561-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W SOUTHWEST LOOP 323",
            "address_2": "SUITE #4",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019347",
            "telephone_number": "903-561-9535",
            "fax_number": "903-561-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "RAYMON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent David Hood, PA
• James William Hooper, D.D.S.
• Joshua S Hooper, OD
• Justin S Hooper, PHARM.D., BCPS
• Lara Hooper, SLP
• Cindy Hooser, CCP
• Jeffrey Mark Hooton, O.D.
• Steven Kyle Hooton, APRN
• Andrew E Hoover, MD
• Hope and Healing Counseling, PLCC

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• 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.
• 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.