Individual provider Active NPI

Drake A Hawkins, D.D.S.

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1285729194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
12921 Cantrell Rd
Suite# 301
Little Rock, AR 72223-1701
Phone
(501) 224-5511
Fax
(501) 224-2405
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AR Primary

Addresses

Primary practice location

12921 Cantrell Rd
Suite# 301
Little Rock, AR 72223-1701

Mailing address

12921 Cantrell Rd
Suite# 301
Little Rock, AR 72223-1701
Phone (501) 224-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180210000044 AR Order and Referring Only - DentistPractitioner - Dentist 1850651951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
710678454ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Centre @ 10 Dental Group General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285729194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD",
            "address_2": "SUITE# 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-5511",
            "fax_number": "501-224-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD",
            "address_2": "SUITE# 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-5511",
            "fax_number": "501-224-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "DRAKE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.