NPIMap

Organization Active NPI

Hoffman Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Crystal Lake, IL
National Provider Identifier
1003081589
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019-025088 Issued in IL
Legal business name
HOFFMAN ORTHODONTICS
Practice address
521 Devonshire LN
Crystal Lake, IL 60014-7564
Phone
(815) 459-3434
Fax
(815) 459-3498
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Robert B Hoffman, DDS MSNPI 1487690731
Title
Doctor
Phone
(815) 459-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 019-025088 IL Primary

Addresses

Primary practice location

521 Devonshire LN
Crystal Lake, IL 60014-7564

Mailing address

521 Devonshire LN
Crystal Lake, IL 60014-7564
Phone (815) 459-3434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1003081589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 DEVONSHIRE LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147564",
            "telephone_number": "815-459-3434",
            "fax_number": "815-459-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 DEVONSHIRE LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147564",
            "telephone_number": "815-459-3434",
            "fax_number": "815-459-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-459-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019-025088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.