Individual provider Active NPI

Patricia Hoang

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1366017113
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17514 Issued in MD
Practice address
8900 Columbia 100 Pkwy Ste B
Columbia, MD 21045-2336
Phone
(410) 772-5453
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 17514 MD Primary

Addresses

Primary practice location

8900 Columbia 100 Pkwy Ste B
Columbia, MD 21045-2336

Mailing address

8900 Columbia 100 Pkwy Ste B
Columbia, MD 21045-2336

Other practice location 1

7836 Oakwood Rd Ste B
Glen Burnie, MD 21061-4298
Phone (410) 766-4650

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
17514MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuger & Sircus DDS, PA General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1366017113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 COLUMBIA 100 PKWY STE B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 COLUMBIA 100 PKWY STE B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452336",
            "telephone_number": "410-772-5453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7836 Oakwood Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210614298",
            "country_code": "US",
            "telephone_number": "410-766-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.