Organization Active NPI

Patricia Hornback DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Panama City, FL
National Provider Identifier
1992983654
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DN0009234 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.