Individual provider Active NPI

Mary Hoch, DDS

  • General Practice Dentistry
  • Harlan, IA
National Provider Identifier
1780114447
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09407 Issued in IA
Practice address
1818 Chatburn PLZ
Harlan, IA 51537-1980
Phone
(319) 471-4031
NPI assigned
Jun 15, 2017
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 DDS-09407 IA Primary

Addresses

Primary practice location

1818 Chatburn PLZ
Harlan, IA 51537-1980

Mailing address

1818 Chatburn PLZ
Harlan, IA 51537-1980

Other practice location 1

1415 Broadway
Denison, IA 51442-2052
Phone (712) 263-5615

Other practice location 2

2105 Pine St
Harlan, IA 51537-1850
Phone (712) 755-5342

Other names 1

  • Mary Kaufmann Former name

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
DDS-09407IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Dental LLC CurrentSince May 1, 2022 Accepting new patients
Broadway Dental LLC General Practice Past Accepting new patients

Locations

1818 Chatburn Plz
Harlan, IA 51537
Phone (319) 471-4031

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1780114447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 CHATBURN PLZ",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 CHATBURN PLZ",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371980",
            "telephone_number": "319-471-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Broadway",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "IA",
            "postal_code": "514422052",
            "country_code": "US",
            "telephone_number": "712-263-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 Pine St",
            "address_purpose": "LOCATION",
            "city": "Harlan",
            "state": "IA",
            "postal_code": "515371850",
            "country_code": "US",
            "telephone_number": "712-755-5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCH",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KAUFMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.