Individual provider Active NPI

Thomas Joseph Hoeffel, D.D.S

  • General Practice Dentistry
  • Roseville, MN
National Provider Identifier
1780667170
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9606 Issued in MN
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

Updated by the provider on Jul 13, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002200 MN Order and Referring Only - DentistPractitioner - Dentist 4082908991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Hoeffel DDS PA General Practice CurrentSince Aug 30, 2020 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.

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

Verify at the official NPI Registry.