Individual provider Active NPI

Anja M Hoffstrom, DDS

  • Durable Medical Equipment & Medical Supplies
  • Marquette, MI
National Provider Identifier
1891147187
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
304 State Highway M553
Marquette, MI 49855-9422
Phone
(906) 242-2443
NPI assigned
Jul 11, 2016
Last updated
Jun 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
General Practice Dentistry 1223G0001X 2901021945 MI

Addresses

Primary practice location

304 State Highway M553
Marquette, MI 49855-9422

Mailing address

304 State Highway M553
Marquette, MI 49855-9422
Phone (906) 242-2443

Other names 1

  • Ms. Anja M Koski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160804000520 MI Practitioner - Oral Surgery 8820382401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021945MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Levata Sleep PC General Practice CurrentSince Oct 1, 2018 Accepting new patients
Carla Ellen Skaates DDS PC PastSince Aug 7, 2022 Accepting new patients
Katelyn E. Wetton, DDS, PC General Practice PastSince Nov 30, 2025 Accepting new patients

Locations

1055 W Fair Ave
Marquette, MI 49855
Phone (906) 226-9599

304 State Highway M553
Marquette, MI 49855
Phone (906) 242-2443

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1891147187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 STATE HIGHWAY M553",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559422",
            "telephone_number": "906-242-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 STATE HIGHWAY M553",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559422",
            "telephone_number": "906-242-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFSTROM",
        "first_name": "ANJA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-06-18",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJA",
            "last_name": "KOSKI",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.