Individual provider Active NPI

Katherine Hoeg

  • Dentist
  • Chelmsford, MA
National Provider Identifier
1174319933
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10000835 Issued in MA
Practice address
117 Drum Hill Rd
Chelmsford, MA 01824-1505
Phone
(978) 674-8571
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN10000835 MA Primary

Addresses

Primary practice location

117 Drum Hill Rd
Chelmsford, MA 01824-1505

Mailing address

350 Willis Creek Dr
Mattituck, NY 11952-2683
Phone (631) 466-4581

Other practice location 1

350 Willis Creek Dr
Mattituck, NY 11952-2683
Phone (631) 466-4581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250916001912 MA Order and Referring Only - DentistPractitioner - Dentist 9133623945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1174319933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WILLIS CREEK DR",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119522683",
            "telephone_number": "631-466-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DRUM HILL RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241505",
            "telephone_number": "978-674-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Willis Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Mattituck",
            "state": "NY",
            "postal_code": "119522683",
            "country_code": "US",
            "telephone_number": "631-466-4581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEG",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.