Individual provider Active NPI

John Kendall Hackbarth, DDS

  • General Practice Dentistry
  • Texas City, TX
National Provider Identifier
1225001175
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11086 Issued in TX
Practice address
1708 N Amburn Rd
Suite a
Texas City, TX 77591-2436
Phone
(409) 935-2111
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11086 TX Primary

Addresses

Primary practice location

1708 N Amburn Rd
Suite a
Texas City, TX 77591-2436

Mailing address

1708 N Amburn Rd
Suite a
Texas City, TX 77591-2436
Phone (409) 935-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151002000589 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678881158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225001175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 N AMBURN RD",
            "address_2": "SUITE A",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912436",
            "telephone_number": "409-935-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 N AMBURN RD",
            "address_2": "SUITE A",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912436",
            "telephone_number": "409-935-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKBARTH",
        "first_name": "JOHN",
        "middle_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.