Organization Active NPI

Dental Surgery Shawn Hofkes DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Cerritos, CA
National Provider Identifier
1952857997
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
59962 Issued in CA
Legal business name
DENTAL SURGERY SHAWN HOFKES DDS INC
Practice address
11480 South St Ste 201
Cerritos, CA 90703-6632
Phone
(562) 584-4082
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Shawn Hofkes
Title
Dentist Owner
Phone
(562) 584-4082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 59962 CA Primary

Addresses

Primary practice location

11480 South St Ste 201
Cerritos, CA 90703-6632

Mailing address

11480 South St Ste 201
Cerritos, CA 90703-6632

National Provider Directory

National Provider Directory

Locations

11480 South St
Ste 201
Cerritos, CA 90703
Phone (562) 584-4082

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1952857997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 SOUTH ST STE 201",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 SOUTH ST STE 201",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036632",
            "telephone_number": "562-584-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SURGERY SHAWN HOFKES DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "HOFKES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "562-584-4082",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "59962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.