Bruce E Hochstadter, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021000812 19013612 Issued in IL

Practice address

444 N Northwest Nwy
Suite 325
Park Ridge, IL 60068

Phone

(847) 296-6100

Fax

(847) 296-8706

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 4, 2018 through Dec 4, 2026

Medicare enrollment (NPD)

Enrolled

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.

• Hochstadter Isaacson Cherny Dumanis & Assoc Maxillo Surgery LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Park Ridge, IL
  • NPI 1154424778
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1578666137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST NWY",
            "address_2": "SUITE 325",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-296-6100",
            "fax_number": "847-296-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST NWY",
            "address_2": "SUITE 325",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-296-6100",
            "fax_number": "847-296-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCHSTADTER",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021000812 19013612",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "137000100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL GROUP #",
            "identifier": "0080004915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arica Hirsch, M.D.
• Jacqueline Hirschey, MD
• Beth Hirsley, DNP, APRN, CPNP-PC
• Duc Quynh Ho, DO
• Hochstadter Isaacson Cherny Dumanis & Assoc Maxillo Surgery LTD
• April Eve Hocking, D.D.S.
• Sana T. Hoda, DO
• Pantra S Hoeft, LCSW
• Jessica Hoffen, MD
• Anne K Hoffmann, PH.D., CCC-SLP

• Oral and Maxillofacial Surgery (Dentist) in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.