NPIMap

Organization Active NPI

Jenny O. Hawkins DDS PC

Doing business as Pax Dental

  • General Practice Dentistry
  • Lexington Park, MD
National Provider Identifier
1346946548
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JENNY O. HAWKINS DDS PC
Doing business as
Pax Dental
Practice address
22749 Maple Rd
Lexington Park, MD 20653-6305
Phone
(301) 863-8822
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Michael Hawkins
Title
Ceo
Phone
(240) 925-7829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

22749 Maple Rd
Lexington Park, MD 20653-6305

Mailing address

22749 Maple Rd
Lexington Park, MD 20653-6305
Phone (301) 862-8822

Other identifiers 4

IdentifierTypeStateIssuer
1508004318MedicaidMD
1013164466MedicaidMD
1013536051MedicaidMD
1740289685MedicaidMD

Other names 1

  • Pax Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jenny O Hawkins DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22749 Maple Rd
Lexington Park, MD 20653
Phone (301) 863-8822

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1346946548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22749 MAPLE RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206536305",
            "telephone_number": "301-862-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22749 MAPLE RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206536305",
            "telephone_number": "301-863-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY O. HAWKINS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-925-7829"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508004318",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013164466",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013536051",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740289685",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pax Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.