Active NPI
Alexis Hoekstra, DMD
- Dentist
- Oakdale, MN
National Provider Identifier
1164150215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15167
- Practice address
- 1077 Helmo Ave N Ste 130
Oakdale, MN 55128-5546 - Phone
- (651) 731-6464
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D15167 | MN | Primary |
| General Practice Dentistry | 1223G0001X | 6001055-15 | WI |
Addresses
Primary practice location
1077 Helmo Ave N Ste 130
Oakdale, MN 55128-5546
Mailing address
4600 Atlas PL
Woodbury, MN 55129-4429
Other practice location 1
460 Crescent St
Menomonie, WI 54751-1827
Phone (715) 235-2211
Other practice location 2
1975 11th Ave E
Maplewood, MN 55109-5148
Phone (651) 770-2900
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 |
|---|---|---|---|
| D15167 | MN | MD | Dentist |
| 6001055-15 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1164150215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 ATLAS PL",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551294429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 HELMO AVE N STE 130",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285546",
"telephone_number": "651-731-6464"
}
],
"practiceLocations": [
{
"address_1": "460 Crescent St",
"address_purpose": "LOCATION",
"city": "Menomonie",
"state": "WI",
"postal_code": "547511827",
"country_code": "US",
"telephone_number": "715-235-2211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1975 11th Ave E",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551095148",
"country_code": "US",
"telephone_number": "651-770-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOEKSTRA",
"first_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15167",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6001055-15",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.