Individual provider Active NPI

Madalyn Jo Hoerz, DMD

  • General Practice Dentistry
  • Bradford, MA
National Provider Identifier
1346807104
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1858326 Issued in MA
Practice address
323 S Main St
Bradford, MA 01835-7348
Phone
(978) 372-0600
NPI assigned
May 28, 2019
Last updated
Jun 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1858326 MA Primary

Addresses

Primary practice location

323 S Main St
Bradford, MA 01835-7348

Mailing address

323 S Main St
Bradford, MA 01835-7348
Phone (978) 372-0600

Other practice location 1

42 Washington St Apt A
Newburyport, MA 01950-2414
Phone (603) 819-3958

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
1858326MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Bower DMD 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1346807104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MAIN ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357348",
            "telephone_number": "978-372-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MAIN ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357348",
            "telephone_number": "978-372-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Washington St Apt A",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "019502414",
            "country_code": "US",
            "telephone_number": "603-819-3958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOERZ",
        "first_name": "MADALYN",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1858326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; 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.