Individual provider Active NPI

Ruth Anita Hawkins, DDS

  • Dentist
  • Belcourt, ND
National Provider Identifier
1083795728
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019909 Issued in IL
Practice address
1 Main Street
Quentin N Burdick Memorial Health Care Facility
Belcourt, ND 58316
Phone
(701) 477-8439
NPI assigned
Oct 18, 2006
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019019909 IL Primary

Addresses

Primary practice location

1 Main Street
Quentin N Burdick Memorial Health Care Facility
Belcourt, ND 58316

Mailing address

PO Box 025580
Kin 365
Miami, FL 33102
Phone (708) 990-3357

Other names 1

  • Dr. Ruth Anita Hawkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250404000589 IL Practitioner - Dentist 9931623527 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019019909ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Community Family Wellness Center CurrentSince Jan 27, 2025 Accepting new patients
Beloved Community Family Wellness Center CurrentSince Jan 27, 2025 Accepting new patients
Beloved Community Family Wellness Center Current Accepting new patients

Locations

2338 New St
Blue Island, IL 60406
Phone (708) 577-5060

326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629

6821 S Halsted St
Chicago, IL 60621
Phone (773) 651-3629

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1083795728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 025580",
            "address_2": "KIN 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33102",
            "telephone_number": "708-990-3357",
            "fax_number": "876-755-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN STREET",
            "address_2": "QUENTIN N BURDICK MEMORIAL HEALTH CARE FACILITY",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "58316",
            "telephone_number": "701-477-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "RUTH",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "HAWKINS",
            "middle_name": "ANITA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belcourt, ND

Sources for this page

Verify at the official NPI Registry.