Individual provider Active NPI

Kaitlyn Renee Hawkins, DDS

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1033600804
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6850 Issued in LA
Practice address
10634 N Oak Hills Pkwy
Baton Rouge, LA 70810-0102
Phone
(225) 766-3474
Fax
(225) 766-3475
NPI assigned
May 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6850 LA Primary

Addresses

Primary practice location

10634 N Oak Hills Pkwy
Baton Rouge, LA 70810-0102

Mailing address

10634 N Oak Hills Pkwy
Baton Rouge, LA 70810-0102
Phone (225) 766-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20181114003141 LA Order and Referring Only - DentistPractitioner - Dentist 7517211352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6850LAMDGeneral Practice Dentistry

Networks

  • LA PPO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1033600804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10634 N OAK HILLS PKWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100102",
            "telephone_number": "225-766-3474",
            "fax_number": "225-766-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 N OAK HILLS PKWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100102",
            "telephone_number": "225-766-3474",
            "fax_number": "225-766-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KAITLYN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.