Active NPI
Harlen Duane Hobbs II, DDS
- General Practice Dentistry
- Sparta, TN
National Provider Identifier
1013908193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS7654
- Practice address
- 18 S Spring St
Sparta, TN 38583-1825 - Phone
- (931) 836-2416
- NPI assigned
- Oct 29, 2005
- Last updated
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS7654 | TN | Primary |
| General Practice Dentistry | 1223G0001X | D4094 | ID | |
| General Practice Dentistry | 1223G0001X | DE00011165 | WA | |
| General Practice Dentistry | 1223G0001X | DD3249 | NM |
Addresses
Primary practice location
18 S Spring St
Sparta, TN 38583-1825
Mailing address
488 Hurricane Creek Rd
Lynchburg, TN 37352-5607
Phone (931) 588-5149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q020510 | Medicaid | TN | |
| 806590100 | Medicaid | ID |
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 |
|---|---|---|---|
| D4094 | ID | MD | General Practice Dentistry |
| DD3249 | NM | MD | General Practice Dentistry |
| DS7654 | TN | MD | General Practice Dentistry |
| DE00011165 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Consulting LLC | General Practice | Past | Accepting new patients |
| Joseph Marc Ross D.D.S., P.L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Lynchburg, TN
- NPI 1306209218
-
- Dental Clinic/Center
- Sparta, TN
- NPI 1821266388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1013908193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 HURRICANE CREEK RD",
"city": "LYNCHBURG",
"state": "TN",
"postal_code": "373525607",
"telephone_number": "931-588-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S SPRING ST",
"city": "SPARTA",
"state": "TN",
"postal_code": "385831825",
"telephone_number": "931-836-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "HARLEN",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-29",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS7654",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D4094",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00011165",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD3249",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q020510",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806590100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.