Active NPI
Hillside Endodontics LLC
- Endodontics
- Wichita, KS
National Provider Identifier
1417476847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6545
- Legal business name
- HILLSIDE ENDODONTICS LLC
- Practice address
- 215 S. Hillside
Wichita, KS 67211-2128 - Phone
- (316) 681-3479
- Fax
- (316) 681-0346
- NPI assigned
- Sep 18, 2017
- Last updated
- Sep 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig F Hoffman, DDS
- Title
- Owner
- Phone
- (316) 681-1099
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 60398 | KS | |
| Endodontics | 1223E0200X | 6545 | KS | Primary |
Addresses
Primary practice location
215 S. Hillside
Wichita, KS 67211-2128
Mailing address
215 S. Hillside
Wichita, KS 67211-2128
Phone (316) 681-3479
National Provider Directory
National Provider DirectoryLocations
215 S Hillside St
Wichita, KS 67211
Phone (316) 681-3479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505692800000",
"number": "1417476847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S. HILLSIDE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672112128",
"telephone_number": "316-681-3479",
"fax_number": "316-681-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S. HILLSIDE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672112128",
"telephone_number": "316-681-3479",
"fax_number": "316-681-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDE ENDODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-18",
"last_updated": "2017-09-18",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-681-1099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "60398",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "6545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.