Individual provider Active NPI

William Clinton Hawks Jr., D.M.D

  • Dentist
  • Covington, IN
National Provider Identifier
1992171672
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12013383A Issued in IN
Practice address
1302 Pearl St
Covington, IN 47932-9760
Phone
(765) 793-4680
NPI assigned
Aug 17, 2015
Last updated
May 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013383A IN Primary
Dentist 122300000X 9596 KY

Addresses

Primary practice location

1302 Pearl St
Covington, IN 47932-9760

Mailing address

521 Washington St
Covington, IN 47932-1260
Phone (859) 475-4695

Other practice location 1

US Army Dental Activity
BLDG 3703 Kirchberg Kaserne
Landstuhl, RP 66849
DE
Phone (314) 487-4130

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

LicenseStateTypeSpecialty
12013383AINMDDentist
9596KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain County Dentistry CurrentSince Jan 5, 2025 Accepting new patients

Locations

1302 Pearl St
Covington, IN 47932
Phone (765) 793-4680

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1992171672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 WASHINGTON ST",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479321260",
            "telephone_number": "859-475-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 PEARL ST",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479329760",
            "telephone_number": "765-793-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "US Army Dental Activity",
            "address_2": "BLDG 3703 Kirchberg Kaserne",
            "address_purpose": "LOCATION",
            "city": "Landstuhl",
            "state": "RP",
            "postal_code": "66849",
            "country_code": "DE",
            "telephone_number": "314-487-4130",
            "country_name": "Germany",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "WILLIAM",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013383A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.