Mark A Hobbie, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.030221 Issued in IL

Practice address

321 Illini Dr
Clinton, IL 61727-9771

Phone

(217) 935-5397

Fax

(217) 935-4769

NPI assigned

Jul 15, 2015

Last updated

Jun 1, 2018By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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.

• Clinton Family Dental

  • Dentist
  • Clinton, IL
  • NPI 1750730271
  NPD (past) Authorized official
• England & Degrauwe PC

  • General Practice Dentistry
  • Clinton, IL
  • NPI 1801973045
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1972987303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ILLINI DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617279771",
            "telephone_number": "217-935-5397",
            "fax_number": "217-935-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ILLINI DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617279771",
            "telephone_number": "217-935-5397",
            "fax_number": "217-935-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBIE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "319.019450",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Jean Hickman
• Highland Park CVS, L.L.C. (CVS Pharmacy # 06931)
• Angela Louise Hilliard
• Jeremy Hinton
• Kristi L. Hobbie, D.M.D.
• Christine M Horve-Willoughby, PT
• Christopher James Howse, M.D.
• Paul Francis Hughes, PT
• Neal Clay Iden, LCSW
• Gregory Kirby Ingraham, MSW, LCSW

• General Practice Dentistry in Clinton, IL
• Providers in Clinton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.