Individual provider Active NPI

Robert B. Hawkins, D.M.D.

  • General Practice Dentistry
  • Longwood, FL
National Provider Identifier
1639188741
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN FL 8181 Issued in FL
Practice address
2855 W State Road 434
Suite 1031
Longwood, FL 32779-4480
Phone
(407) 862-2299
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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 DN FL 8181 FL Primary

Addresses

Primary practice location

2855 W State Road 434
Suite 1031
Longwood, FL 32779-4480

Mailing address

2855 W State Road 434
Suite 1031
Longwood, FL 32779-4480
Phone (407) 862-2299

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
I20160812000190 FL Order and Referring Only - DentistPractitioner - Dentist 3274827357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN FL 8181FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gessner Dental PA PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1639188741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W STATE ROAD 434",
            "address_2": "SUITE 1031",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794480",
            "telephone_number": "407-862-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W STATE ROAD 434",
            "address_2": "SUITE 1031",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794480",
            "telephone_number": "407-862-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ROBERT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN FL 8181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.