Active NPI
Patrick Joseph Hoban, DDS
- General Practice Dentistry
- Fairfield, OH
National Provider Identifier
1033237631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30017797
- Practice address
- 5184 Winton Rd
Fairfield, OH 45014-2900 - Phone
- (513) 858-1600
- Fax
- (513) 858-2012
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30017797 | OH | Primary |
Addresses
Primary practice location
5184 Winton Rd
Fairfield, OH 45014-2900
Mailing address
5184 Winton Rd
Fairfield, OH 45014-2900
Phone (513) 858-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608926 | Medicaid | OH |
Other names 1
- Dr. Patrick Joseph Hoban
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30017797 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoban Dentistry LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033237631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5184 WINTON RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142900",
"telephone_number": "513-858-1600",
"fax_number": "513-858-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5184 WINTON RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142900",
"telephone_number": "513-858-1600",
"fax_number": "513-858-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBAN",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30017797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "608926",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICK",
"last_name": "HOBAN",
"middle_name": "JOSEPH",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.