Beth Ann Blair, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6856-15 Issued in WI

Practice address

100 River PL
Suite 110
Monona, WI 53716-4041

Phone

(608) 222-6160

Fax

(608) 222-6248

NPI assigned

May 2, 2012

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Beth Ann Hoge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Pediatric Dental, SC

  • Pediatric Dentistry
  • Madison, WI
  • NPI 1538230966
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1023376597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 110",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-222-6160",
            "fax_number": "608-222-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 110",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-222-6160",
            "fax_number": "608-222-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6856-15",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ND",
            "license": "2206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HOGE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Birch Springs Counseling East
• Lennie Birkett, RPH
• Elizabeth Esther Bittner
• Aleah Blada, MA, CCC-SLP
• Matthew Blahunka
• Derek Blum, CSAC
• Ann Marie Bohlman, LCSW
• Michael J Borst
• Deborah K Boushea, MD
• Alexis Jo Boz, R.N.

• Pediatric Dentistry in Monona, WI
• Providers in Monona, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.