Individual provider Active NPI

David Michael Hohimer Jr., D.M.D.

  • General Practice Dentistry
  • Ft Lauderdale, FL
National Provider Identifier
1568664225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15986 Issued in FL
Practice address
2020 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1106
Phone
(954) 566-9812
Fax
(954) 630-8722
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

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 DN15986 FL Primary

Addresses

Primary practice location

2020 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1106

Mailing address

2601 NE 27TH Ter
Ft Lauderdale, FL 33306-1721
Phone (954) 630-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150204002189 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628391398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568664225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NE 27TH TER",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061721",
            "telephone_number": "954-630-2599",
            "fax_number": "954-630-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061106",
            "telephone_number": "954-566-9812",
            "fax_number": "954-630-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHIMER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.