Individual provider Active NPI

Peter N. Hofmann, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1548360233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11382 Issued in TX
Practice address
15615 Coit Rd Ste 107
Dallas, TX 75248-4475
Phone
(972) 960-1913
Fax
(972) 960-1914
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11382 TX Primary

Addresses

Primary practice location

15615 Coit Rd Ste 107
Dallas, TX 75248-4475

Mailing address

15615 Coit Rd Ste 107
Dallas, TX 75248-4475
Phone (972) 960-1913

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
11382TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548360233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 COIT RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484475",
            "telephone_number": "972-960-1913",
            "fax_number": "972-960-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 COIT RD STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484475",
            "telephone_number": "972-960-1913",
            "fax_number": "972-960-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "PETER",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.