Individual provider Active NPI

Courtney Leeann Hoffman, D.D.S.

  • General Practice Dentistry
  • Magnolia, TX
National Provider Identifier
1275063232
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32922 Issued in TX
Practice address
827 S. Magnolia Blvd.
Suite 1
Magnolia, TX 77355
Phone
(281) 356-3721
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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 32922 TX Primary

Addresses

Primary practice location

827 S. Magnolia Blvd.
Suite 1
Magnolia, TX 77355

Mailing address

827 S. Magnolia Blvd
Suite 1
Magnolia, TX 77355
Phone (281) 356-3721

Other names 1

  • Ms. Courtney Leeann Kleiber Former name

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
I20171229002004 TX Order and Referring Only - DentistPractitioner - Dentist 8224396999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32922TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Dentistry General Practice CurrentSince Aug 13, 2023 Accepting new patients
Hillwood Family Dental 1774 PLLC CurrentSince Dec 6, 2022 Accepting new patients
Cutbirth and Sanderson, L.L.P. General Practice PastSince Dec 29, 2019 Accepting new patients

Locations

13210 Memorial Dr
Ste 300
Houston, TX 77079
Phone (281) 661-1844

827 Magnolia Blvd
Ste 1
Magnolia, TX 77355
Phone (281) 356-3721

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1275063232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S. MAGNOLIA BLVD",
            "address_2": "SUITE 1",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77355",
            "telephone_number": "281-356-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S. MAGNOLIA BLVD.",
            "address_2": "SUITE 1",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77355",
            "telephone_number": "281-356-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "COURTNEY",
        "middle_name": "LEEANN",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KLEIBER",
            "middle_name": "LEEANN",
            "prefix": "MS.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.