Andrew Hawks, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13889174-9926 Issued in UT

Practice address

10654 S River Heights Dr Ste 310
South Jordan, UT 84095-5544

Phone

(801) 254-6900

NPI assigned

Oct 16, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1316767080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 S WATERCOURSE RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840091827",
            "telephone_number": "801-652-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 310",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955544",
            "telephone_number": "801-254-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "13889174-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Sierra Hastings
• Jory Woodrow Hatfield, LCSW
• Hawaii Life Flight, LLC
• Brittany K Hawkes, PA
• Tyler Hawkins
• Madeline Haws, APRN
• Patricia Hayner
• Heal SLC LLC
• Healthful Beginnings
• Healthquest of South Jordan

• Orthodontics and Dentofacial Orthopedics Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.