Craig Frank Hoffmann, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

60398 Issued in KS

Practice address

12219 E Central Ave
Wichita, KS 67206-2808

Phone

(316) 681-1099

Fax

(316) 613-2417

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 22, 2015 through May 22, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wichita Endodontics LLC

  • Endodontics
  • Wichita, KS
  • NPI 1326564188
  NPD Authorized official
• Wichita Endodontics LLC

  • Endodontics
  • Witchita, KS
  • NPI 1558949784
  NPD Authorized official
• Wichita Endodontics LLC

  • Dental Clinic/Center
  • Wichita, KS
  • NPI 1568048809
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1972697019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062808",
            "telephone_number": "316-681-1099",
            "fax_number": "316-613-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12219 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062808",
            "telephone_number": "316-681-1099",
            "fax_number": "316-613-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "CRAIG",
        "middle_name": "FRANK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60398",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "60398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catera Hoffman, LPC-T
• Deborah E Hoffman, CDE
• Erin Hoffman, D.O.
• Kelsie Hoffman, APRN
• Kent J Hoffman, PA-C
• Judy L. Hogan, L.P.T.
• Kristen Ann Hogg
• Michael Hogwood, MA, CCC-SLP
• Heather Lynn Holcomb, LSCSW
• Polly Holcomb, D.P.T.

• All providers in Wichita, KS
• Endodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.