Henry William Hoge, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5000644 Issued in WI

Practice address

2808 Kohler Memorial Drive
Suite 2
Sheboygan, WI 53081-3177

Phone

(920) 452-8802

Fax

(920) 452-2852

NPI assigned

Feb 20, 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

Credentials

Master of Science

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 and National Provider Directory roles.

• Shoreline Periodontics Limited

  • Periodontics
  • Sheboygan, WI
  • NPI 1376789933
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457496580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DRIVE",
            "address_2": "SUITE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813177",
            "telephone_number": "920-452-8802",
            "fax_number": "920-452-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DRIVE",
            "address_2": "SUITE 2",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813177",
            "telephone_number": "920-452-8802",
            "fax_number": "920-452-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGE",
        "first_name": "HENRY",
        "middle_name": "WILLIAM",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "5000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William P Hodous, DPM
• James S Hoell, MD
• Ashley J Hoerth, AU.D
• William Henry Hoffman III, LPC
• Rob Hoffmann, COTA
• Michael S. Hoge, D.M.D., M.S.
• Tiffany H Holley, DNP, RN, FNP-BC
• Sonya R Hollingsworth, M.D.
• Peter Holmes
• Stephanie L Holschbach, NP

• Periodontics in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Periodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.