Henry Jacob Hoffacker III, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS019086L Issued in PA

Practice address

565 Carlisle St
Hanover, PA 17331-2145

Phone

(717) 632-5855

NPI assigned

Apr 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1134548845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CARLISLE ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312145",
            "telephone_number": "717-632-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 CARLISLE ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312145",
            "telephone_number": "717-632-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFACKER",
        "first_name": "HENRY",
        "middle_name": "JACOB",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019086L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc A Hirsh, MD
• Kimberly S. Hissong
• Karen Hitchcock
• Mallory Ann Hoak, OTR/L
• Deborah Hobbs
• Ralph Julius Hoffacker II, DDS
• Timothy Hoffman, DDS
• Cayla Hofmann
• Ryann C Hollman, LCSW
• Holtz Family Chiropractic, LLC

• Dentist in Hanover, PA
• Providers in Hanover, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.