Organization Active NPI

David C Hobson DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairbanks, AK
National Provider Identifier
1275907818
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1533 Issued in AK
Legal business name
DAVID C HOBSON DDS MS PC
Practice address
114 Minnie St Ste B
Fairbanks, AK 99701-3000
Phone
(907) 457-7878
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. David Clark Hobson, DDS
Title
Owner
Phone
(907) 457-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1533 AK Primary

Addresses

Primary practice location

114 Minnie St Ste B
Fairbanks, AK 99701-3000

Mailing address

114 Minnie St Ste B
Fairbanks, AK 99701-3000
Phone (907) 457-7878

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAK

National Provider Directory

National Provider Directory

Locations

114 Minnie St
Ste B
Fairbanks, AK 99701
Phone (907) 308-2200

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1275907818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013000",
            "telephone_number": "907-457-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013000",
            "telephone_number": "907-457-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C HOBSON DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-457-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AK",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.