Individual provider Active NPI

Douglas Mark Hohman, DDS

  • Dentist
  • Holdrege, NE
National Provider Identifier
1396851572
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5713 Issued in NE
Practice address
1223 Hill St
Holdrege, NE 68949
Phone
(308) 995-8639
Fax
(308) 995-6370
NPI assigned
Aug 21, 2006
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5713 NE Primary

Addresses

Primary practice location

1223 Hill St
Holdrege, NE 68949

Mailing address

1223 Hill St
Holdrege, NE 68949
Phone (308) 995-8639

Other identifiers 1

IdentifierTypeStateIssuer
47083804300MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20150511000389 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5991715591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5713NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hohman Family Dentistry P.C. Dentist CurrentSince Aug 6, 2023 Accepting new patients

Locations

1223 Hill St
Holdrege, NE 68949
Phone (308) 995-8639

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phelps Memorial Health CenterHoldrege, NE, CCN 28Z362 Hospital Corporate Director Apr 18, 2023
Phelps Memorial Health CenterHoldrege, NE, CCN 281362 Hospital Corporate Director Apr 18, 2023
Phelps Medical GroupHoldrege, NE, CCN 288543 Rural health clinic Corporate Director Apr 18, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1396851572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 HILL ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "68949",
            "telephone_number": "308-995-8639",
            "fax_number": "308-995-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HILL ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "68949",
            "telephone_number": "308-995-8639",
            "fax_number": "308-995-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHMAN",
        "first_name": "DOUGLAS",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083804300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.