Thomas Gabriel Hotard I

Primary specialty

DentistTaxonomy code 122300000X

License

000732 Issued in GA

Practice address

400 S Pinetree Blvd
Dental Clinic, BLDG. 510
Thomasville, GA 31792-7128

Phone

(229) 227-2817

Fax

(229) 227-3206

NPI assigned

Sep 9, 2011

Last updated

Sep 9, 2011By 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 GA

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1033491600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1378",
            "address_2": "400 S. PINETREE BLVD. SOUTHWESTERN STATE HOSPITAL,",
            "city": "THOMASVILLE,",
            "state": "GA",
            "postal_code": "317991378",
            "telephone_number": "229-227-2817",
            "fax_number": "229-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S PINETREE BLVD",
            "address_2": "DENTAL CLINIC, BLDG. 510",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927128",
            "telephone_number": "229-227-2817",
            "fax_number": "229-227-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTARD",
        "first_name": "THOMAS",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deren H Hooks, P.A.-C.
• Michael A Hooks, PHARMD
• William B Hooks, PA-C
• Hopewell in Home Senior Care
• Ny'Teefa Tranasha Hopkins
• G. Courtney Houston, M.D.
• Joseph A Howe
• Catherine W Howell, PA
• John Casey Howell, RPH
• Kayla Louise Howell, FNP-C

• Dentist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.