Individual provider Active NPI

Caitlyn Martha Grace Hornsby

  • General Practice Dentistry
  • Taft, TX
National Provider Identifier
1497455018
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39583 Issued in TX
Practice address
1210 Gregory St Ste 3
Taft, TX 78390-3045
Phone
(361) 528-3262
NPI assigned
Mar 3, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39583 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X TX

Addresses

Primary practice location

1210 Gregory St Ste 3
Taft, TX 78390-3045

Mailing address

PO Box 212
Taft, TX 78390-0212
Phone (361) 528-3262

Other practice location 1

8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone (210) 450-3700

Other practice location 2

4449 S Alameda St Ste 1
Corpus Christi, TX 78412-2465
Phone (361) 991-5652

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
39583TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles D. Kolb Inc. General Practice Past Accepting new patients
Charles D Kolb DDS Inc General Practice PastSince Jun 25, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1497455018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783900212",
            "telephone_number": "361-528-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 GREGORY ST STE 3",
            "city": "TAFT",
            "state": "TX",
            "postal_code": "783903045",
            "telephone_number": "361-528-3262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "210-450-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4449 S Alameda St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784122465",
            "country_code": "US",
            "telephone_number": "361-991-5652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNSBY",
        "first_name": "CAITLYN",
        "middle_name": "MARTHA GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39583",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taft, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.