Jeffrey Todd Hawkins, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN21003 Issued in FL

Practice address

2820 Clark Rd
Sarasota, FL 34231-6220

Phone

(419) 264-8009

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, 2017 through Jul 13, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• TDN Dentistry, PLLC

  • Periodontics
  • Sarasota, FL
  • NPI 1396462479
  NPD
• Ryan C. Taylor, DDS, PA

  • Periodontics
  • Sarasota, FL
  • NPI 1023480092

  Oral and Maxillofacial Surgery

  NPD (past)
• Evaskus and Herzog, LTD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chicago, IL
  • NPI 1316044837

  Oral and Maxillofacial Surgery

  NPD (past)
• Surgical Specialty Partners, LTD.

  • Specialist
  • Bolingbrook, IL
  • NPI 1154379931
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1861409211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316220",
            "telephone_number": "941-926-4800",
            "fax_number": "630-972-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316220",
            "telephone_number": "419-264-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S Tamiami Trl # 19",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342396908",
            "country_code": "US",
            "telephone_number": "941-444-5366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-08-16",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "IL",
            "license": "019024719",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "13615",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN21003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Hausman, LMFT
• Raymond D Hautamaki, MD
• Haven Home Physicians LLC
• Paige Elizabeth Hawco, MD
• Cherie Joy Hawk, OT
• Julie Ellen Hawkins, PHD
• Lesley A Hawks, CRNA
• Hawthorne Sarasota SNF Operations LLC
• Robert J Hawthorne, DC
• Laura Ann Hay, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.