Gary Allen Hawthorne, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2783 Issued in AR

Practice address

1803 S Greenwood Ave
Fort Smith, AR 72901-5821

Phone

(479) 782-2487

Fax

(479) 782-8838

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in AR

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gary a. Hawthorne, D.M.D., P.a.

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1841399664
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952412850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 S GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015821",
            "telephone_number": "479-782-2487",
            "fax_number": "479-782-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 S GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015821",
            "telephone_number": "479-782-2487",
            "fax_number": "479-782-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Hatfield, MS, LPC, LMFT, RPT
• Aimee Kathleen Hattabaugh, PTA
• Teddi Haughey
• Hussam Hawamdeh, MD
• Kaitlyn Nicole Hawkins
• Logan Hawthorne
• Veronica Haydon, LPC
• Jana Kaye Hayes, M.S., CCC-SLP
• Kearston Nacol Hayes
• Sherry Hayes

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Dentistry in Arkansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.