Organization Active NPI

Thomas J Hawkes DDS PA

  • Dentist
  • Bullhead City, AZ
National Provider Identifier
1639930290
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THOMAS J HAWKES DDS PA
Practice address
3003 Hway 95 Ste 15
Bullhead City, AZ 86442-7896
Phone
(928) 758-4664
Fax
(928) 758-2645
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Thomas J Hawkes, DDSNPI 1386734796
Title
Dentist
Phone
(928) 758-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3003 Hway 95 Ste 15
Bullhead City, AZ 86442-7896

Mailing address

3003 Hway 95 Ste 15
Bullhead City, AZ 86442-7896
Phone (928) 758-4664

National Provider Directory

National Provider Directory

Locations

3003 Highway 95
Ste 15
Bullhead City, AZ 86442
Phone (928) 758-4664

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1639930290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HWAY 95 STE 15",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427896",
            "telephone_number": "928-758-4664",
            "fax_number": "928-758-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HWAY 95 STE 15",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427896",
            "telephone_number": "928-758-4664",
            "fax_number": "928-758-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J HAWKES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "HAWKES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "928-758-4664",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.