James Ellsworth Hornaday, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12007244A Issued in IN

Practice address

1004 Oak Dr
Richmond, IN 47374-1916

Phone

(765) 935-1997

Fax

(765) 939-2861

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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 Jan 1, 2011 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richmond Oral & Maxillofacial Surgery,LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond, IN
  • NPI 1790105203
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912929753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 OAK DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741916",
            "telephone_number": "765-935-1997",
            "fax_number": "765-939-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 OAK DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741916",
            "telephone_number": "765-935-1997",
            "fax_number": "765-939-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNADAY",
        "first_name": "JAMES",
        "middle_name": "ELLSWORTH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007244A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC (CVS Pharmacy # 03162)
• Hook-Superx LLC (CVS Pharmacy #06636)
• Kerri Ann Hooker, RBT
• Emily Hoover
• Phyllis Horn
• Angela J Hornak, ANP-BC,FNP-BC,DNP
• Stephen Joseph Hornak, M.D.
• Michal Hornicek, M.D.
• Travis Jay Hornsby, RBT
• Constance Hoskins, RN

• Oral and Maxillofacial Surgery (Dentist) in Richmond, IN
• Providers in Richmond, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.