Active NPI
Riley L Hawkins, D.M.D.
- General Practice Dentistry
- Decatur, AL
National Provider Identifier
1295745008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4573
- Practice address
- 1823 Somerville Rd SE
Decatur, AL 35601-5015 - Phone
- (256) 355-2275
- Fax
- (253) 355-1240
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4573 | AL | Primary |
Addresses
Primary practice location
1823 Somerville Rd SE
Decatur, AL 35601-5015
Mailing address
1823 Somerville Rd SE
Decatur, AL 35601-5015
Phone (256) 355-2275
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464104 | Other | AL | UNITED CONCORDIA |
| 09816570 | Medicaid | AL | |
| 631069848 | Other | AL | TAX ID |
| 1691242 | Other | AL | UNITED CONCORDIA |
| 51008049 | Other | AL | BCBS OF AL |
| 830369814 | Other | AL | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4573 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawkins McCaghren Partnership | 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.
-
- General Practice Dentistry
- Decatur, AL
- NPI 1265581268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295745008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 SOMERVILLE RD SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015015",
"telephone_number": "256-355-2275",
"fax_number": "253-355-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 SOMERVILLE RD SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015015",
"telephone_number": "256-355-2275",
"fax_number": "253-355-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "RILEY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "4573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "464104",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09816570",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "631069848",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1691242",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51008049",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "830369814",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.