Individual provider Active NPI

Daniel Paul Hobgood IV, LMT

  • Specialist
  • Pensacola, FL
National Provider Identifier
1437482023
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA#31761 Issued in FL
Practice address
4317 Spanish TRL
Pensacola, FL 32504-4942
Phone
(850) 313-2085
Fax
(850) 479-9154
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA#31761 FL Primary

Addresses

Primary practice location

4317 Spanish TRL
Pensacola, FL 32504-4942

Mailing address

6420 Chapel St
Pensacola, FL 32504-7013
Phone (850) 313-2085

Other identifiers 1

IdentifierTypeStateIssuer
C1292OtherFLBLUE CROSS/BLUE SHIELD PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA#31761FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1437482023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CHAPEL ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047013",
            "telephone_number": "850-313-2085",
            "fax_number": "850-479-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044942",
            "telephone_number": "850-313-2085",
            "fax_number": "850-479-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBGOOD",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA#31761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD PROVIDER NUMBER",
            "identifier": "C1292",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.