NPI Code Detail JSON Logo

1972610517 NPI number — ANDREW THOMAS HAWKS D.D.S.

NPI Number: 1972610517
Health Care Provider/Practitioner: ANDREW THOMAS HAWKS D.D.S.

Information about “1972610517” NPI (ANDREW THOMAS HAWKS D.D.S.) exists in 1972610517 in HTML format HTML  |  1972610517 in plain Text format TXT  |  1972610517 in PDF (Portable Document Format) PDF  |  1972610517 in an XML format XML  formats.

NPI Number : 1972610517 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972610517",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAWKS",
    "FirstName": "ANDREW",
    "MiddleName": "THOMAS",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE",
    "SecondLineMailingAddress": "UNIT 26610",
    "MailingAddressCityName": "APO",
    "MailingAddressStateName": "AE",
    "MailingAddressPostalCode": "09244",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "011499318897714",
    "MailingAddressFaxNumber": "011499318897719",
    "FirstLinePracticeLocationAddress": "BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE",
    "SecondLinePracticeLocationAddress": "UNIT 26610",
    "PracticeLocationAddressCityName": "APO",
    "PracticeLocationAddressStateName": "AE",
    "PracticeLocationAddressPostalCode": "09244",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "011499318897714",
    "PracticeLocationAddressFaxNumber": "011499318897719",
    "EnumerationDate": "08/23/2006",
    "LastUpdateDate": "04/20/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "5957-015",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "12009801A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.