DEREK ADAM HOFFMAN (NPI# 1770847873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770847873 |
| Entity Type | Individual |
| Full Name | DEREK ADAM HOFFMAN |
| Credential | D.M.D., M.S. |
| Practice Address |
1406 Kingsley Ave Ste B Orange Park FL 32073-4528 |
| Practice Telephone | 9042644519 |
| Practice Fax Number | 9042644510 |
| Mailing Telephone | 9042644519 |
| Mailing Fax Number | 9042644510 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20979 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295117448 | Derek A Hoffman | Dentist | 827 S. 48th St., Lincoln, NE 68510 | 2015-06-24 |
| Street Address |
1406 KINGSLEY AVE STE B |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1063811644 | Thomas Levier Gardner | Dentist | 518 Hollyberry Ln Ste 105, Orange Park, FL 32065-5290 | 2014-08-19 |
| 1699821074 | Jossette Trinh Vo | Dentist | 5000 Us Highway 17 Ste 4, Orange Park, FL 32003-8237 | 2007-01-26 |
| 1942354386 | John P Peden | Dentist | 1406 Kingsley Avenue, Orange Park, FL 32073 | 2007-01-23 |
| 1023127370 | Robert P Fields | Dentist | 2580 Country Side Dr, Orange Park, FL 32003-4949 | 2006-08-30 |
| 1184637571 | Andrew Burford Brown | Dentist | 2217 Kingsley Ave, Orange Park, FL 32073-5115 | 2006-08-15 |
| 1487149290 | Family Orthodontics of Florida, Pllc | Dentist | 2217 Kingsley Ave, Orange Park, FL 32073-5115 | 2018-06-25 |
| 1124402912 | Hoffman Orthodontics Pa | Dentist | 1406 Kingsley Ave, Ste B, Orange Park, FL 32073-4590 | 2015-07-13 |
| 1225447493 | Julia Lipkin | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065-8052 | 2014-08-12 |
| 1023143922 | Alan D Shoopak Dmd Orthodontic Group Ix, LLC | Dentist | 1670 Eagle Harbor Pkwy, Ste. A, Orange Park, FL 32003-4806 | 2007-02-22 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on DEREK ADAM HOFFMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.