Organization Active NPI

Hobart Family Dentistry PLLC

  • General Practice Dentistry
  • Hobart, OK
National Provider Identifier
1356863716
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5964 Issued in OK
Legal business name
HOBART FAMILY DENTISTRY PLLC
Practice address
110 S. Broadway
Hobart, OK 73651
Phone
(580) 726-2020
Fax
(580) 726-5669
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Nathaniel William Talley, DDSNPI 1982804126
Title
Dentist/Owner
Phone
(580) 726-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5964 OK Primary

Addresses

Primary practice location

110 S. Broadway
Hobart, OK 73651

Mailing address

110 S Broadway
Hobart, OK 73651-1819
Phone (580) 726-2020

Other identifiers 1

IdentifierTypeStateIssuer
440805204OtherOKGENERAL DENTIST

National Provider Directory

National Provider Directory

Locations

110 S Broadway
Hobart, OK 73651
Phone (580) 726-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1356863716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BROADWAY",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736511819",
            "telephone_number": "580-726-2020",
            "fax_number": "580-726-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S. BROADWAY",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "73651",
            "telephone_number": "580-726-2020",
            "fax_number": "580-726-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBART FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "580-726-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "440805204",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.