Individual provider Active NPI

John Darrell Hoggle, D.M.D.

  • General Practice Dentistry
  • Livingston, AL
National Provider Identifier
1730230475
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3514 Issued in AL
Practice address
105 Hospital Drive
Livingston, AL 35470-1108
Phone
(205) 652-7114
Fax
(205) 652-6889
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3514 AL Primary

Addresses

Primary practice location

105 Hospital Drive
Livingston, AL 35470-1108

Mailing address

PO Box 1108
105 Hospital Drive
Livingston, AL 35470-1108
Phone (205) 652-7114

Other identifiers 1

IdentifierTypeStateIssuer
510-93330OtherALBCBS PREFERRED PROVIDER N

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150806011037 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971817701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3514ALMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730230475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "105 HOSPITAL DRIVE",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354701108",
            "telephone_number": "205-652-7114",
            "fax_number": "205-652-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL DRIVE",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354701108",
            "telephone_number": "205-652-7114",
            "fax_number": "205-652-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGGLE",
        "first_name": "JOHN",
        "middle_name": "DARRELL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PREFERRED PROVIDER N",
            "identifier": "510-93330",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, AL

Sources for this page

Verify at the official NPI Registry.