Eric R Hotze, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ERIC R HOTZE, DMD, PC

Practice address

6312 Hazelwest CT Ste 100
Hazelwood, MO 63042-1760

Phone

(314) 731-1200

Fax

(314) 731-2630

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Eric Robert Hotze, DMDNPI 1174638746

Title

President

Phone

(314) 731-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Eric Robert Hotze, DMD

  • General Practice Dentistry
  • Hazelwood, MO
  • NPI 1174638746
  NPD (past) Authorized official

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1801351382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 HAZELWEST CT STE 100",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421760",
            "telephone_number": "314-731-1200",
            "fax_number": "314-731-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 HAZELWEST CT STE 100",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421760",
            "telephone_number": "314-731-1200",
            "fax_number": "314-731-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R HOTZE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "HOTZE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-731-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI",
            "identifier": "1174638746",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.