Individual provider Active NPI

Daniel Hoffacker, D.D.S., MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, MD
National Provider Identifier
1053645408
Registry record updated May 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14509 Issued in MD
Practice address
207 Washington Heights Med Ctr
Westminster, MD 21157
Phone
(410) 848-6700
NPI assigned
Oct 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 14509 MD Primary

Addresses

Primary practice location

207 Washington Heights Med Ctr
Westminster, MD 21157

Mailing address

207 Washington Heights Med Ctr
Westminster, MD 21157-5632
Phone (410) 848-6700

Other practice location 1

10775 Birmingham Way
Woodstock, MD 21163-1425
Phone (410) 480-1083

Other identifiers 1

IdentifierTypeStateIssuer
14509OtherMDMARYLAND STATE DENTAL BOARD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14509MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Pitrone Sorkin & Jarvis Orthodontics Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1053645408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON HEIGHTS MED CTR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575632",
            "telephone_number": "410-848-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON HEIGHTS MED CTR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10775 Birmingham Way",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "MD",
            "postal_code": "211631425",
            "country_code": "US",
            "telephone_number": "410-480-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFACKER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "14509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE DENTAL BOARD",
            "identifier": "14509",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; 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.