Individual provider Active NPI

Clayton Gene Hoffman, DDS

  • Dentist
  • Platte, SD
National Provider Identifier
1841586864
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D1008 Issued in SD
Practice address
601 E 7TH St
#5
Platte, SD 57369-2123
Phone
(605) 337-3810
NPI assigned
Jun 28, 2011
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D1008 SD Primary

Addresses

Primary practice location

601 E 7TH St
#5
Platte, SD 57369-2123

Mailing address

601 E 7TH St
#5
Platte, SD 57369-2123
Phone (605) 337-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20151218001677 SD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072814904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1008SDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1841586864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "address_2": "#5",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 7TH ST",
            "address_2": "#5",
            "city": "PLATTE",
            "state": "SD",
            "postal_code": "573692123",
            "telephone_number": "605-337-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CLAYTON",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte, SD

Sources for this page

Verify at the official NPI Registry.