Active NPI
Ronald Eugene Hoffman III, DMD
- General Practice Dentistry
- Cadiz, KY
National Provider Identifier
1962849604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9300
- Practice address
- 5269 Hopkinsville Rd
Cadiz, KY 42211 - Phone
- (270) 522-5100
- Fax
- (270) 522-5103
- NPI assigned
- Jun 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9300 | KY | Primary |
Addresses
Primary practice location
5269 Hopkinsville Rd
Cadiz, KY 42211
Mailing address
PO Box 1687
5269 Hopkinsville Rd
Cadiz, KY 42211-1687
Phone (270) 522-5100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9300 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1962849604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1687",
"address_2": "5269 HOPKINSVILLE RD",
"city": "CADIZ",
"state": "KY",
"postal_code": "422111687",
"telephone_number": "270-522-5100",
"fax_number": "270-522-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5269 HOPKINSVILLE RD",
"city": "CADIZ",
"state": "KY",
"postal_code": "42211",
"telephone_number": "270-522-5100",
"fax_number": "270-522-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "RONALD",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cadiz, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.