Individual provider Active NPI

Rhonda Corey Hogan, D.M.D.

  • Pediatric Dentistry
  • Suwanee, GA
National Provider Identifier
1164551081
Registry record updated Aug 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013279 Issued in GA
Practice address
1380 Peachtree Industrial Blvd
Suite 150
Suwanee, GA 30024-3769
Phone
(770) 614-8914
Fax
(770) 614-8917
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN013279 GA Primary

Addresses

Primary practice location

1380 Peachtree Industrial Blvd
Suite 150
Suwanee, GA 30024-3769

Mailing address

1380 Peachtree Industrial Blvd
Suite 150
Suwanee, GA 30024-3769
Phone (770) 614-8914

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

LicenseStateTypeSpecialty
DN013279GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Specialty Dental Services II, PC Pediatric Dentistry PastSince May 7, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344124800000",
    "number": "1164551081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 150",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243769",
            "telephone_number": "770-614-8914",
            "fax_number": "770-614-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 150",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243769",
            "telephone_number": "770-614-8914",
            "fax_number": "770-614-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "RHONDA",
        "middle_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; 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.