Individual provider Active NPI

Theresa Hoang, DMD

  • Dentist
  • Ware, MA
National Provider Identifier
1710279930
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1856469 Issued in MA
Practice address
90 South St
Ware, MA 01082-1617
Phone
(413) 967-3385
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150528002341 MA Order and Referring Only - DentistPractitioner - Dentist 5395065502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1856469MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Quaboag Valley Dental Family Past Accepting new patients
Center for Dental Sleep Medicine, PC PastSince Jan 17, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1856469 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

90 South St
Ware, MA 01082-1617

Mailing address

90 South St
Ware, MA 01082-1617
Phone (413) 967-3385

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2014.

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1710279930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTH ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821617",
            "telephone_number": "413-967-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTH ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821617",
            "telephone_number": "413-967-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "1856469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ware, MA

Sources for this page

Verify at the official NPI Registry.