Active NPI
Allen Earl Hoeft, DDS
- Dentist
- Traverse City, MI
National Provider Identifier
1326010489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10074
- Practice address
- 3287 Racquet Club Dr
Ste C
Traverse City, MI 49684 - Phone
- (231) 935-1948
- Fax
- (231) 935-1990
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10074 | MI | Primary |
Addresses
Primary practice location
3287 Racquet Club Dr
Ste C
Traverse City, MI 49684
Mailing address
3878 Janice Lane
Traverse City, MI 49686
Phone (231) 223-7935
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329001939 | MI | Order and Referring Only - Oral Surgery | 8325345853 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10074 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1326010489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3878 JANICE LANE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49686",
"telephone_number": "231-223-7935",
"fax_number": "231-223-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3287 RACQUET CLUB DR",
"address_2": "STE C",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-935-1948",
"fax_number": "231-935-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEFT",
"first_name": "ALLEN",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "10074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.