Active NPI
Dudley McGraw Hodgkins, D.D.S., M.S.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cedar Park, TX
National Provider Identifier
1093879728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11186
- Practice address
- 2515 S. Lakeline Blvd.
Cedar Park, TX 78613-2963 - Phone
- (512) 331-1419
- Fax
- (512) 331-1648
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11186 | TX | Primary |
Addresses
Primary practice location
2515 S. Lakeline Blvd.
Cedar Park, TX 78613-2963
Mailing address
2515 S. Lakeline Blvd.
Cedar Park, TX 78613-2963
Phone (512) 331-1419
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11186 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1093879728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 S. LAKELINE BLVD.",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132963",
"telephone_number": "512-331-1419",
"fax_number": "512-331-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 S. LAKELINE BLVD.",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132963",
"telephone_number": "512-331-1419",
"fax_number": "512-331-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGKINS",
"first_name": "DUDLEY",
"middle_name": "MCGRAW",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "11186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.