Individual provider Active NPI

Peter John Hoffman, DDS

  • Dentist
  • Beaufort, SC
National Provider Identifier
1437138534
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5911 Issued in WI
Practice address
1 Pinckney Blvd
Attn: Professional Affiars Coordinator
Beaufort, SC 29902-6148
Phone
(843) 228-5577
Fax
(843) 228-5196
NPI assigned
Jan 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5911 WI Primary

Addresses

Primary practice location

1 Pinckney Blvd
Attn: Professional Affiars Coordinator
Beaufort, SC 29902-6148

Mailing address

237 W Hickory St
Ste 1
Lancaster, WI 53813-1457
Phone (843) 228-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404000956 WI Order and Referring Only - DentistPractitioner - Dentist 6709183908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5911WIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437138534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W HICKORY ST",
            "address_2": "STE 1",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131457",
            "telephone_number": "843-228-5577",
            "fax_number": "843-228-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "address_2": "ATTN: PROFESSIONAL AFFIARS COORDINATOR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026148",
            "telephone_number": "843-228-5577",
            "fax_number": "843-228-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.