Individual provider Active NPI

Patrick Joseph Hoblitzell, DMD

  • Dentist
  • Edgewater, CO
National Provider Identifier
1578073904
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00203555 Issued in CO
Practice address
1921 Sheridan Blvd Unit F
Edgewater, CO 80214
Phone
(303) 557-4056
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00203555 CO Primary

Addresses

Primary practice location

1921 Sheridan Blvd Unit F
Edgewater, CO 80214

Mailing address

1101 E Bayaud Ave Apt E1708
Denver, CO 80209-2498
Phone (859) 250-3341

Other practice location 1

1816 S Range Line Rd
Joplin, MO 64804-3275
Phone (417) 572-0002

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

LicenseStateTypeSpecialty
DEN.00203555COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1578073904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E BAYAUD AVE APT E1708",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092498",
            "telephone_number": "859-250-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SHERIDAN BLVD UNIT F",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "80214",
            "telephone_number": "303-557-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1816 S Range Line Rd",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043275",
            "country_code": "US",
            "telephone_number": "417-572-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBLITZELL",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.