Hodosh Dental Associates, Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2280 Issued in RI

Legal business name

HODOSH DENTAL ASSOCIATES, INC.

Practice address

243 Elmwood Ave
Providence, RI 02907-1547

Phone

(401) 467-4600

Fax

(401) 781-9854

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alex Hodosh, DMDNPI 1225195209

Title

Dr. -Manager

Phone

(401) 467-4600

Specialties & licenses 8

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex J. Hodosh, DMD

  • General Practice Dentistry
  • Providence, RI
  • NPI 1225195209
  NPD (past) Authorized official
• Steven H. Hodosh, DMD

  • General Practice Dentistry
  • Providence, RI
  • NPI 1174688204
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1679634109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ELMWOOD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071547",
            "telephone_number": "401-467-4600",
            "fax_number": "401-781-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ELMWOOD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071547",
            "telephone_number": "401-467-4600",
            "fax_number": "401-781-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODOSH DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "HODOSH",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DR. -MANAGER",
        "authorized_official_telephone_number": "401-467-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "2280",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "1854",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2280",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1854",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "RI",
            "license": "2280",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "2280",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "2280",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "RI",
            "license": "2280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI",
            "identifier": "8982-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASHENTUCKET-PEQUOT",
            "identifier": "DEN999",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MA",
            "identifier": "RG0053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "780979",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hockhousen, MS, CCC-SLP
• Alexandria Hodge
• Diane E. Hodgman
• Melinda Hodne, RNP
• Hodosh Cosmetic & Implant Dentistry LLC
• Alex J. Hodosh, DMD
• Steven H. Hodosh, DMD
• Catherine Hoefliger, PSY.D.
• Molly Hoell, RD
• Laurie Hoffman, M.D.

• Endodontics in Providence, RI
• Providers in Providence, RI by specialty
• Endodontics in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.