Active NPI
Mary Hoch, DDS
- General Practice Dentistry
- Harlan, IA
National Provider Identifier
1780114447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-09407
- Practice address
- 1818 Chatburn PLZ
Harlan, IA 51537-1980 - Phone
- (319) 471-4031
- NPI assigned
- Jun 15, 2017
- Last updated
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09407 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Dental LLC | Current | 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.
-
- Dental Clinic/Center
- Harlan, IA
- NPI 1689318081
-
- General Practice Dentistry
- Denison, IA
- NPI 1790816817
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.