Mark G. Hochberg, D.M.D.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

30.020049 Issued in OH

Practice address

305 W 12TH Ave
Columbus, OH 43210

Phone

(614) 247-4284

Fax

(614) 292-9384

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Specialty

Oral Surgery

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Exeter Dental Implant and Oral Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Exeter, NH
  • NPI 1063024487
  NPD (past)
• Gregory Biron DMD, MD, PLLC

  dba Exeter Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Exeter, NH
  • NPI 1912798737
  NPD (past)
• Manchester Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Manchester, NH
  • NPI 1467062935
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1861478398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-247-4284",
            "fax_number": "614-292-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-247-4284",
            "fax_number": "614-292-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCHBERG",
        "first_name": "MARK",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OH",
            "license": "30.020049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hoberg, C.D.C.A., M.S.
• Gretchen Hoberty, LPN.151036.MEDS-IV
• Ashley Nicole Hobson, PNP
• Susan Hobson
• Holly A Hobzek
• Emma Hochstetler
• Jena Hochstetler, LISW-S
• Jordan Phillip Hochstetler, MD
• Lois Hochstetler, LISW-S
• Adam Hock

• Oral and Maxillofacial Pathology Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• Oral and Maxillofacial Pathology Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.