Active NPI
Patrick Joseph Hoblitzell, DMD
- Dentist
- Edgewater, CO
National Provider Identifier
1578073904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00203555
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203555 | CO | MD | Dentist |
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.