Active NPI
Ann Elizabeth Hogan, DDS
- Dentist
- Stamford, CT
National Provider Identifier
1053447227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009662
- Practice address
- 26 Strawberry Hill Ave
Suite 2F
Stamford, CT 06902-2631 - Phone
- (203) 559-0653
- NPI assigned
- Feb 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 009662 | CT | Primary |
Addresses
Primary practice location
26 Strawberry Hill Ave
Suite 2F
Stamford, CT 06902-2631
Mailing address
26 Strawberry Hill Ave
Suite 2F
Stamford, CT 06902-2631
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Apr 30, 2016 through Apr 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009662 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053447227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 STRAWBERRY HILL AVE",
"address_2": "SUITE 2F",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 STRAWBERRY HILL AVE",
"address_2": "SUITE 2F",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022631",
"telephone_number": "203-559-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "009662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
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.
- 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.