Bruce Hoag, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

033048 Issued in CA

Practice address

220 N Fairfield Ave
Susanville, CA 96130-4206

Phone

(530) 257-2181

NPI assigned

Nov 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1407038839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N FAIRFIELD AVE",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304206",
            "telephone_number": "530-257-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N FAIRFIELD AVE",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304206",
            "telephone_number": "530-257-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAG",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "033048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Allen Herron, MS
• Marylynn Herron, LMFT
• Dana Anne Hill, B.A.
• Benjamin Joseph Hillman
• Martin G Hlusak, OD
• James Weger Hodge, D.D.S.
• Daisy Lyn-Ann Hoehn, PHARMD
• Krystle Hollandsworth, MSW, ACSW
• Sandra Lee Holman
• Paul Weber Holmes, MD

• Dentist in Susanville, CA
• Providers in Susanville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.