Active NPI
Kervin Hoffman, DDS
- Dentist
- Austin, TX
National Provider Identifier
1720196207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19759
- Practice address
- 1221 W Ben White Ste 203
Longhorn Dental
Austin, TX 78704 - Phone
- (512) 326-3998
- Fax
- (512) 326-3889
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- General Practice Dentistry
- Austin, TX
- NPI 1710067459
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19759 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carus Dental PC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19759 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1221 W Ben White Ste 203
Longhorn Dental
Austin, TX 78704
Mailing address
7517 Cameron Road Suite 107
Longhorn Dental Associates
Austin, TX 78752
Phone (512) 371-1222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720196207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 CAMERON ROAD SUITE 107",
"address_2": "LONGHORN DENTAL ASSOCIATES",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78752",
"telephone_number": "512-371-1222",
"fax_number": "512-371-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W BEN WHITE STE 203",
"address_2": "LONGHORN DENTAL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-326-3998",
"fax_number": "512-326-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "KERVIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "19759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, 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.