Individual provider Active NPI

William Peter Hoffmann, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MN
National Provider Identifier
1619947314
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9698 Issued in MN
Practice address
15655 37TH Ave. N.
280
Plymouth, MN 55446-4000
Phone
(763) 520-1234
Fax
(763) 520-1233
NPI assigned
Jan 25, 2006
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9698 MN Primary

Addresses

Primary practice location

15655 37TH Ave. N.
280
Plymouth, MN 55446-4000

Mailing address

15655 37TH Avenue North
280
Plymouth, MN 55446
Phone (763) 520-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000448 MN Practitioner - Oral Surgery 6002857125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15655 37TH Ave N
Suite 280
Plymouth, MN 55446-4000

15655 37TH N Ave
Suite 280
Plymouth, MN 55446-4000
Phone (763) 520-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9698MNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oral & Maxillofacial Surgery, P.a. Oral and Maxillofacial Surgery CurrentSince Nov 1, 2010 Accepting new patients
Minnesota Oral & Maxillofacial Surgery, P.a. Oral and Maxillofacial Surgery CurrentSince Nov 1, 2010 Accepting new patients
Metropolitan Oral and Maxillofacial Surgeons PA Oral and Maxillofacial Surgery Past Accepting new patients

Locations

15655 37th Ave N
Ste 280
Plymouth, MN 55446
Phone (763) 520-1234

2855 Campus Dr
Ste 670
Plymouth, MN 55441
Phone (763) 520-1234

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1619947314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 37TH AVENUE NORTH",
            "address_2": "280",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55446",
            "telephone_number": "763-520-1234",
            "fax_number": "763-520-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 37TH AVE. N.",
            "address_2": "280",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464000",
            "telephone_number": "763-520-1234",
            "fax_number": "763-520-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "WILLIAM",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "9698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.