Individual provider Active NPI

Lisa Hoang, DMD

  • General Practice Dentistry
  • Palm Harbor, FL
National Provider Identifier
1023251956
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18570 Issued in FL
Practice address
2707 Tampa Rd
Palm Harbor, FL 34684-3312
Phone
(727) 785-6521
Fax
(727) 785-6237
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18570 FL Primary

Addresses

Primary practice location

2707 Tampa Rd
Palm Harbor, FL 34684-3312

Mailing address

2707 Tampa Rd
Palm Harbor, FL 34684-3312
Phone (727) 785-6521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209001023 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9537449566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18570FLMDGeneral Practice Dentistry
7097WIMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1023251956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843312",
            "telephone_number": "727-785-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843312",
            "telephone_number": "727-785-6521",
            "fax_number": "727-785-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.