Individual provider Active NPI

Donald R. Hoaglin, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Glendale, AZ
National Provider Identifier
1790838605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
5151 Issued in AZ
Practice address
18301 N 79TH Ave Ste G185
Glendale, AZ 85308-6093
Phone
(623) 931-9198
NPI assigned
Jan 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 5151 AZ Primary

Addresses

Primary practice location

18301 N 79TH Ave Ste G185
Glendale, AZ 85308-6093

Mailing address

18301 N 79TH Ave Ste G185
Glendale, AZ 85308-6093
Phone (623) 931-9198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 5, 2016 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5151AZMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Oral Surgery, PLC Oral and Maxillofacial Surgery Current Accepting new patients
Arizona Center for Implants, Facial, and Oral Surgery Oral and Maxillofacial Surgery Past Accepting new patients
Hospital Oral Surgical Services, PLC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 3

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790838605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE G185",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "623-931-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE G185",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086093",
            "telephone_number": "623-931-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAGLIN",
        "first_name": "DONALD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "AZ",
            "license": "5151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.