Brent J Hawkes, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

D008975 Issued in AZ

Practice address

3003 Hway 95 Ste 15
Bullhead City, AZ 86442-7896

Phone

(928) 758-4664

Fax

(928) 758-2645

NPI assigned

Jun 10, 2014

Sex

Male

Sole proprietor

No

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 AZ

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas J Hawkes DDS PA

  • Dentist
  • Bullhead City, AZ
  • NPI 1639930290
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1144633793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HWAY 95 STE 15",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427896",
            "telephone_number": "928-758-4664",
            "fax_number": "928-758-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HWAY 95 STE 15",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427896",
            "telephone_number": "928-758-4664",
            "fax_number": "928-758-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "BRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Van Hamilton, RN
• Sarah Hamze Sinno, MD
• Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
• Joshua Douglas Harper, CRNA
• Adnan Hassoune, M.D.
• Thomas J. Hawkes, D.D.S.
• Hayes Hearing LLC
• Bart Robert Hayes, D.C.
• Benjamin Lawrence Hayes, AZ HIS #4659
• Melinda M Hayes, MD

• Dentist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.