Michael S. Hoge, D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1001724-15 Issued in WI

Practice address

2808 Kohler Memorial Dr Ste 2
Sheboygan, WI 53081-3166

Phone

(920) 452-8802

NPI assigned

Aug 27, 2008

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Jul 27, 2018 through Jul 27, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Shoreline Periodontics Limited

  • Periodontics
  • Sheboygan, WI
  • NPI 1376789933
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1033366406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DR STE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813166",
            "telephone_number": "920-452-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DR STE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813166",
            "telephone_number": "920-452-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGE",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "1001724-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S Hoell, MD
• Ashley J Hoerth, AU.D
• William Henry Hoffman III, LPC
• Rob Hoffmann, COTA
• Henry William Hoge, DDS MS
• Tiffany H Holley, DNP, RN, FNP-BC
• Sonya R Hollingsworth, M.D.
• Peter Holmes
• Stephanie L Holschbach, NP
• Lisa Holtz, LPN

• Periodontics in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Periodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.