Organization Active NPI

Stephen D. Hobby DMD PC

  • Dentist
  • Ocilla, GA
National Provider Identifier
1023289287
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012750 Issued in GA
Legal business name
STEPHEN D. HOBBY DMD PC
Practice address
500 N Irwin Ave
Ocilla, GA 31774-5008
Phone
(229) 468-9402
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Stephen HobbyNPI 1861519605
Title
Dentist
Phone
(229) 468-9402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN012750 GA Primary

Addresses

Primary practice location

500 N Irwin Ave
Ocilla, GA 31774-5008

Mailing address

500 N Irwin Ave
Ocilla, GA 31774-5008
Phone (229) 468-9402

National Provider Directory

National Provider Directory

Locations

500 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-9402

Practitioners & affiliated clinicians

Practitioners 2

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1023289287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745008",
            "telephone_number": "229-468-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745008",
            "telephone_number": "229-468-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. HOBBY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "HOBBY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "229-468-9402",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocilla, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.