Krystal Hoang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14819 Issued in MN

Practice address

4080 W Broadway Ave Ste 300
Robbinsdale, MN 55422-5607

Phone

(763) 712-3214

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1023745379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 GRIMES AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554436500",
            "telephone_number": "612-859-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE STE 300",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225607",
            "telephone_number": "763-712-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "KRYSTAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Hendricks, DC
• Daniel Hensley
• Ryan William Hess, MD
• Laura Anne Heymans
• Julie Hildebrandt
• Sandra M Hodgkin, RN, CNP
• Marcia A Hoffman, GNP
• Jessica Hoffmann
• Barrett Holen, M.D.
• Jacklyn Holmberg, CRNA

• General Practice Dentistry in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.