Active NPI
Kenneth Edward Hoecker, DDS
- General Practice Dentistry
- Hebron, OH
National Provider Identifier
1487745667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 018025
- Practice address
- 820 W Main St
Hebron, OH 43025-9033 - Phone
- (740) 928-4596
- Fax
- (740) 928-0761
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 018025 | OH | Primary |
Addresses
Primary practice location
820 W Main St
Hebron, OH 43025-9033
Mailing address
P.O. Box 280
820 W.Main St
Hebron, OH 43025
Phone (740) 928-4596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018025 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1487745667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 280",
"address_2": "820 W.MAIN ST",
"city": "HEBRON",
"state": "OH",
"postal_code": "43025",
"telephone_number": "740-928-4596",
"fax_number": "740-928-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W MAIN ST",
"city": "HEBRON",
"state": "OH",
"postal_code": "430259033",
"telephone_number": "740-928-4596",
"fax_number": "740-928-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOECKER",
"first_name": "KENNETH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "018025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hebron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.