Matthew Alan Hostetler, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7169-15 Issued in WI

Practice address

161 Horizon Dr Ste 103C
Verona, WI 53593-1250

Phone

(608) 845-7350

Fax

(608) 845-9793

NPI assigned

Aug 25, 2009

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matthew a Hostetler DDS SC

  • General Practice Dentistry
  • Verona, WI
  • NPI 1083128342
  NPD (past) Authorized official
• Cindy J Bahlman DDS LLC

  • General Practice Dentistry
  • Verona, WI
  • NPI 1205043874
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1417180498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6797 HORSESHOE BND",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939211",
            "telephone_number": "260-402-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HORIZON DR STE 103C",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931250",
            "telephone_number": "608-845-7350",
            "fax_number": "608-845-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETLER",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011314A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020290",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7169-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Holland, OD
• Jared D Holthe, D.C.
• Amy Katherine Holzer, MD
• Aimee Hoof
• Kelsey Marie Patton Hostetler, DDS
• Erika Hotchkiss, LPN
• Madison Lea Hoven
• Yaole Hu
• Margo E Hubbard, PA-C
• Hannah K Huber

• General Practice Dentistry in Verona, WI
• Providers in Verona, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.