NPIMap

Organization Active NPI

Eric D. Hoverstad, DDS, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
National Provider Identifier
1154820355
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8934 Issued in NC
Legal business name
ERIC D. HOVERSTAD, DDS, PLLC
Practice address
3809 Computer Dr Ste 101
Raleigh, NC 27609-6518
Phone
(919) 298-2820
Fax
(919) 844-2856
NPI assigned
Feb 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Dr. Eric Deubler Hoverstad, DDSNPI 1720399017
Title
Owner
Phone
(919) 298-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 8934 NC Primary

Addresses

Primary practice location

3809 Computer Dr Ste 101
Raleigh, NC 27609-6518

Mailing address

3809 Computer Dr Ste 101
Raleigh, NC 27609-6518
Phone (919) 298-2820

Other names 2

  • North Hills Implant & Oral Surgery Doing business as
  • Raleigh Oral Surgery - North Hills Doing business as

National Provider Directory

National Provider Directory

Locations

3809 Computer Dr
Ste 101
Raleigh, NC 27609
Phone (919) 298-2820

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1154820355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 COMPUTER DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096518",
            "telephone_number": "919-298-2820",
            "fax_number": "919-844-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 COMPUTER DR STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096518",
            "telephone_number": "919-298-2820",
            "fax_number": "919-844-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D. HOVERSTAD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "HOVERSTAD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEUBLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-298-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hills Implant & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Hills Implant & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raleigh Oral Surgery - North Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.