Anthony James Hornaday, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12010160A Issued in IN

Practice address

620 S Tillotson Ave
Muncie, IN 47304-4448

Phone

(765) 289-9705

Fax

(765) 289-9706

NPI assigned

Jun 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2012 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Anthony J. Hornaday, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Muncie, IN
  • NPI 1235547498
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1407897523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044448",
            "telephone_number": "765-289-9705",
            "fax_number": "765-289-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044448",
            "telephone_number": "765-289-9705",
            "fax_number": "765-289-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNADAY",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010160A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyssa M Hoolehan, RBT
• Jaclyn Hoover, BCBA
• Jessica Hoover
• Hope Chest Tikkun Olam Center LLC
• Wade A Horn, OD
• Chelsea Hornbaker, R.N.
• Nadine Horton
• Mickey Hosier, RBT
• Hospice Advantage, LLC
• Hospice Advantage, LLC.

• Oral and Maxillofacial Surgery (Dentist) in Muncie, IN
• Providers in Muncie, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.