Active NPI
Thomas Joseph Hoeffel, D.D.S
- General Practice Dentistry
- Roseville, MN
National Provider Identifier
1780667170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9606
- Practice address
- 2819 Hamline Ave N
#104
Roseville, MN 55113-7129 - Phone
- (651) 631-9010
- Fax
- (651) 631-9011
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- 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 | 9606 | MN | Primary |
Addresses
Primary practice location
2819 Hamline Ave N
#104
Roseville, MN 55113-7129
Mailing address
6 Peterson PL
Saint Paul, MN 55127-6201
Phone (651) 765-6808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815002200 | MN | Order and Referring Only - Dentist | 4082908991 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas J Hoeffel DDS PA | General Practice | Current | Accepting new patients |
Locations
2819 Hamline Ave N
Ste 104
Roseville, MN 55113
Phone (651) 631-9010
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Roseville, MN
- NPI 1770196891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780667170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PETERSON PL",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551276201",
"telephone_number": "651-765-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 HAMLINE AVE N",
"address_2": "#104",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551137129",
"telephone_number": "651-631-9010",
"fax_number": "651-631-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEFFEL",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "9606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.