Shiva Hogugi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017495 Issued in MI

Practice address

2300 Haggerty Rd
Suite 1170
West Bloomfield, MI 48323-2184

Phone

(248) 669-5110

NPI assigned

Jan 22, 2007

Sex

Female

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Shiva Hogugi PLLC

  • General Practice Dentistry
  • West Bloomfield, MI
  • NPI 1679906499
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1073667739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 FRANKLIN RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020964",
            "telephone_number": "248-872-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 1170",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUGI",
        "first_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Adam Hnatio, PA-C
• Elyse Jeannette Hoffman, PHARMD.
• Lee Marshall Hoffman, DPM
• Lauren Joanna Hofmann, M.A. CCC-SLP
• Christine Joan Hogan-Henk, M.A.
• Sean Patrick Hohl, N.P.
• Isabel B Holland-Davis, MD
• Mitchell B Hollander, MD
• Holly Tacey Psychological Services P.L.L.C.
• Candace Naomi Delisa Holmes, D.C.

• General Practice Dentistry in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.