Organization Active NPI

Thomas J Hoeffel DDS PA

  • General Practice Dentistry
  • Roseville, MN
National Provider Identifier
1770196891
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS J HOEFFEL DDS PA
Practice address
2819 Hamline Ave N Ste 104
Roseville, MN 55113-7718
Phone
(651) 631-9010
Fax
(651) 631-9011
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Thomas Joseph Hoeffel, DDSNPI 1780667170
Title
Dentist
Phone
(651) 631-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2819 Hamline Ave N Ste 104
Roseville, MN 55113-7718

Mailing address

2819 Hamline Ave N Ste 104
Roseville, MN 55113-7718
Phone (651) 631-9010

Other names 1

  • Roseville Dental Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Roseville Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2819 Hamline Ave N
Ste 104
Roseville, MN 55113
Phone (651) 631-9010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1770196891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 HAMLINE AVE N STE 104",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137718",
            "telephone_number": "651-631-9010",
            "fax_number": "651-631-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 HAMLINE AVE N STE 104",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137718",
            "telephone_number": "651-631-9010",
            "fax_number": "651-631-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J HOEFFEL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "HOEFFEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-631-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Roseville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2819 Hamline Ave N Ste 104",
            "city": "Roseville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551137718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roseville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.