Individual provider Active NPI

Jon-Eric Hottinger, D.D.S.

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1932263415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
245704 Issued in CA
Practice address
8450 Elk Grove Blvd
#300
Elk Grove, CA 95758-5964
Phone
(916) 683-8020
Fax
(916) 683-8025
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 245704 CA Primary

Addresses

Primary practice location

8450 Elk Grove Blvd
#300
Elk Grove, CA 95758-5964

Mailing address

1624 41St St
Sacramento, CA 95819-4045
Phone (916) 396-2241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
245704CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932263415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 41ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194045",
            "telephone_number": "916-396-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 ELK GROVE BLVD",
            "address_2": "#300",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585964",
            "telephone_number": "916-683-8020",
            "fax_number": "916-683-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTTINGER",
        "first_name": "JON-ERIC",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "245704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.