Organization Active NPI

Hoffman Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orange Park, FL
National Provider Identifier
1124402912
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20979 Issued in FL
Legal business name
HOFFMAN ORTHODONTICS PA
Practice address
1406 Kingsley Ave
Ste B
Orange Park, FL 32073-4590
Phone
(904) 264-4519
Fax
(904) 264-4510
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Derek Hoffman, D.M.D., M.S.NPI 1770847873
Title
President
Phone
(904) 264-4519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 20979 FL Primary

Addresses

Primary practice location

1406 Kingsley Ave
Ste B
Orange Park, FL 32073-4590

Mailing address

1406 Kingsley Ave
Ste B
Orange Park, FL 32073-4590
Phone (904) 264-4519

Other names 1

  • Peden & Hoffman Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1406 Kingsley Ave
Ste B
Orange Park, FL 32073
Phone (904) 264-4519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1124402912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE",
            "address_2": "STE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734590",
            "telephone_number": "904-264-4519",
            "fax_number": "904-264-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE",
            "address_2": "STE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734590",
            "telephone_number": "904-264-4519",
            "fax_number": "904-264-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-264-4519",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "20979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peden & Hoffman Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.