Active NPI
Patricia Hornback DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- Panama City, FL
National Provider Identifier
1992983654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DN0009234
- Legal business name
- PATRICIA HORNBACK DMD
- Practice address
- 2426 Jenks Ave
Panama City, FL 32405-4908 - Phone
- (850) 785-8574
- Fax
- (850) 784-9433
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Patty J Kinard
- Title
- Secretary
- Phone
- (850) 785-8574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DN0009234 | FL | Primary |
Addresses
Primary practice location
2426 Jenks Ave
Panama City, FL 32405-4908
Mailing address
2426 Jenks Ave
Panama City, FL 32405-4908
Phone (850) 785-8574
National Provider Directory
National Provider DirectoryLocations
2426 Jenks Ave
Panama City, FL 32405
Phone (850) 763-9459
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Pensacola, FL
- NPI 1720027352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1992983654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2426 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054908",
"telephone_number": "850-785-8574",
"fax_number": "850-784-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2426 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054908",
"telephone_number": "850-785-8574",
"fax_number": "850-784-9433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA HORNBACK DMD",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "KINARD",
"authorized_official_first_name": "PATTY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "850-785-8574",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "FL",
"license": "DN0009234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.