Organization Active NPI

Mary Catherine Hoover, DMD LLC

  • Dentist
  • Winona, MS
National Provider Identifier
1508626532
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARY CATHERINE HOOVER, DMD LLC
Practice address
607 Summit St
Winona, MS 38967-2001
Phone
(662) 283-5916
Fax
(662) 283-3889
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. Mary Catherine Hoover, DMDNPI 1538652151
Title
Owner/Dentist
Phone
(662) 283-5916

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

607 Summit St
Winona, MS 38967-2001

Mailing address

607 Summit St
Winona, MS 38967-2001
Phone (662) 283-5916

Other identifiers 1

IdentifierTypeStateIssuer
005133231MedicaidMS

Other names 1

  • Mary Catherine Hoover, DMD Former legal business name

National Provider Directory

National Provider Directory

Locations

607 Summit St
Winona, MS 38967
Phone (662) 283-5916

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1508626532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SUMMIT ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672001",
            "telephone_number": "662-283-5916",
            "fax_number": "662-283-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SUMMIT ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672001",
            "telephone_number": "662-283-5916",
            "fax_number": "662-283-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CATHERINE HOOVER, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "662-283-5916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005133231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Catherine Hoover, DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winona, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.