Active NPI
Matthew M Hoftiezer, DMD
- Dentist
- Mineral Point, WI
National Provider Identifier
1346576188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001437-15
- Practice address
- 1279 Business Park Rd
Mineral Point, WI 53565-9295 - Phone
- (608) 987-3662
- NPI assigned
- Oct 29, 2009
- 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 | 1001437-15 | WI | Primary |
Addresses
Primary practice location
1279 Business Park Rd
Mineral Point, WI 53565-9295
Mailing address
1279 Business Park Rd
Mineral Point, WI 53565-9295
Phone (608) 987-3662
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001437-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mineral Point Family Dentistry, LLC | Past | 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.
-
- General Practice Dentistry
- Mineral Point, WI
- NPI 1073687232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1346576188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1279 BUSINESS PARK RD",
"city": "MINERAL POINT",
"state": "WI",
"postal_code": "535659295",
"telephone_number": "608-987-3662",
"fax_number": "608-987-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 BUSINESS PARK RD",
"city": "MINERAL POINT",
"state": "WI",
"postal_code": "535659295",
"telephone_number": "608-987-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFTIEZER",
"first_name": "MATTHEW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-29",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001437-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineral Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.