Active NPI
William Clinton Hawks Jr., D.M.D
- Dentist
- Covington, IN
National Provider Identifier
1992171672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12013383A
- Practice address
- 1302 Pearl St
Covington, IN 47932-9760 - Phone
- (765) 793-4680
- NPI assigned
- Aug 17, 2015
- Last updated
- May 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12013383A | IN | MD | Dentist |
| 9596 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountain County Dentistry | Current | 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.
-
- Dental Clinic/Center
- Covington, IN
- NPI 1760291124
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
- Dawn Marie Gritten, LCSW
- Timothy James Grzeskiewicz, MA
- Elizabeth Hackney
- William F Handt, DDS
- Happy, Joyous & Free Recovery Life Coaching, LLC
- Healthcare Centers of Indiana, LLC (the Waters of Covington)
- Hook-Superx LLC (CVS Pharmacy #06669)
- Hopewell Homestead, Inc
- Michael C Horvath, PTA
- Candace Lue Hutts
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.