Individual provider Active NPI

John Hofheins

  • Dentist
  • Birmingham, AL
National Provider Identifier
1740809805
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D0006856C1 Issued in AL
Practice address
1919 7TH Ave S
Birmingham, AL 35233-2005
Phone
(205) 934-5334
NPI assigned
Apr 9, 2020
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D0006856C1 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1919 7TH Ave S
Birmingham, AL 35233-2005

Mailing address

1337 58TH St S
Birmingham, AL 35222-4131
Phone (573) 578-7505

Other practice location 1

1810 Decatur Hwy Ste 212
Fultondale, AL 35068-1700
Phone (205) 379-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.
Opted out of Medicare
Yes, effective Jul 13, 2026 through Jul 13, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416003975 AL Order and Referring Only - DentistPractitioner - Dentist 1153751086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D0006856C1ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1740809805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 58TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224131",
            "telephone_number": "573-578-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332005",
            "telephone_number": "205-934-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Decatur Hwy Ste 212",
            "address_purpose": "LOCATION",
            "city": "Fultondale",
            "state": "AL",
            "postal_code": "350681700",
            "country_code": "US",
            "telephone_number": "205-379-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFHEINS",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D0006856C1",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.