Active NPI
Dennis Lane Hoofnagle
- Dental Clinic/Center
- Bellingham, WA
National Provider Identifier
1417101197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DE00003572
- Legal business name
- DENNIS LANE HOOFNAGLE
- Practice address
- 911 N Forest St
Bellingham, WA 98225-5507 - Phone
- (360) 676-1651
- Fax
- (360) 676-4065
- NPI assigned
- Nov 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis Lane Hoofnagle, D.D.S.
- Title
- Owner
- Phone
- (360) 676-1651
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DE00003572 | WA | Primary |
Addresses
Primary practice location
911 N Forest St
Bellingham, WA 98225-5507
Mailing address
911 N Forest St
Bellingham, WA 98225-5507
Phone (360) 676-1651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5325709 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
911 N Forest St
Bellingham, WA 98225
Phone (360) 676-1651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Bellingham, WA
- NPI 1568536399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226102400000",
"number": "1417101197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N FOREST ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255507",
"telephone_number": "360-676-1651",
"fax_number": "360-676-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N FOREST ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255507",
"telephone_number": "360-676-1651",
"fax_number": "360-676-4065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENNIS LANE HOOFNAGLE",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-08",
"last_updated": "2008-11-08",
"status": "A",
"authorized_official_last_name": "HOOFNAGLE",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "LANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-676-1651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "DE00003572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5325709",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.