Organization Active NPI

Hawkins Dental Group

  • General Practice Dentistry
  • St Johnsbury, VT
National Provider Identifier
1972690105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0160000444 Issued in VT
Legal business name
HAWKINS DENTAL GROUP
Practice address
1350 Main St
Suite 1
St Johnsbury, VT 05819-2243
Phone
(802) 748-2325
NPI assigned
Oct 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hubert Hawkins, DDS
Title
Owner
Phone
(802) 748-2325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0160000444 VT Primary

Addresses

Primary practice location

1350 Main St
Suite 1
St Johnsbury, VT 05819-2243

Mailing address

1350 Main St
Suite 1
St Johnsbury, VT 05819-2243
Phone (802) 748-2325

Other identifiers 1

IdentifierTypeStateIssuer
1008592MedicaidVT

Other names 1

  • H HAWKINS DENTAL GROUP Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972690105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "address_2": "SUITE 1",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192243",
            "telephone_number": "802-748-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "address_2": "SUITE 1",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192243",
            "telephone_number": "802-748-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKINS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-748-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0160000444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008592",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H HAWKINS DENTAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.