Active NPI
Steven J Hoagburg, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Wayne, IN
National Provider Identifier
1659423606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1200-8796
- Practice address
- 5715 Maplecrest Rd
Fort Wayne, IN 46835-3838 - Phone
- (260) 486-4400
- Fax
- (260) 486-9387
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1200-8796 | IN | Primary |
Addresses
Primary practice location
5715 Maplecrest Rd
Fort Wayne, IN 46835-3838
Mailing address
5715 Maplecrest Rd
Fort Wayne, IN 46835-3838
Phone (260) 486-4400
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 |
|---|---|---|---|
| 1200-8796 | IN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659423606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 MAPLECREST RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353838",
"telephone_number": "260-486-4400",
"fax_number": "260-486-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 MAPLECREST RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353838",
"telephone_number": "260-486-4400",
"fax_number": "260-486-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOAGBURG",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IN",
"license": "1200-8796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.