Individual provider Active NPI

Maxwell K Hogue, DDS

  • Dentist
  • Midland, MI
National Provider Identifier
1720699465
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600613 Issued in MI
Practice address
5916 Eastman Ave
Midland, MI 48640-6840
Phone
(989) 835-2785
NPI assigned
Aug 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600613 MI Primary

Addresses

Primary practice location

5916 Eastman Ave
Midland, MI 48640-6840

Mailing address

5916 Eastman Ave
Midland, MI 48640-6840
Phone (810) 990-5673

Other practice location 1

702 W Midland Rd
Auburn, MI 48611-9213
Phone (989) 662-6061

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

LicenseStateTypeSpecialty
2901600613MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxwell Hogue DDS PLC Current Accepting new patients
Karl M Hogue DDS Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1597449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1720699465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406840",
            "telephone_number": "810-990-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406840",
            "telephone_number": "989-835-2785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 W Midland Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MI",
            "postal_code": "486119213",
            "country_code": "US",
            "telephone_number": "989-662-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "MAXWELL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-15",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.