Organization Active NPI

Robert B Hammond, DDS, PA

  • General Practice Dentistry
  • Daytona Beach, FL
National Provider Identifier
1912086265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4603 Issued in FL
Legal business name
ROBERT B HAMMOND, DDS, PA
Practice address
624 S Ridgewood Ave
Suite B
Daytona Beach, FL 32114-3703
Phone
(386) 258-1940
Fax
(386) 258-1941
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Bruce Hammond, D.D.SNPI 1790891869
Title
President
Phone
(386) 258-1940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4603 FL Primary

Addresses

Primary practice location

624 S Ridgewood Ave
Suite B
Daytona Beach, FL 32114-3703

Mailing address

624 S Ridgewood Ave
Suite B
Daytona Beach, FL 32114-3703
Phone (386) 258-1940

National Provider Directory

National Provider Directory

Locations

624 S Ridgewood Ave
Ste B
Daytona Beach, FL 32114
Phone (386) 258-1940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912086265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S RIDGEWOOD AVE",
            "address_2": "SUITE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143703",
            "telephone_number": "386-258-1940",
            "fax_number": "386-258-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S RIDGEWOOD AVE",
            "address_2": "SUITE B",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143703",
            "telephone_number": "386-258-1940",
            "fax_number": "386-258-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B HAMMOND, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-258-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.