Individual provider Active NPI

Alexander Hoghooghi, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Palo Alto, CA
National Provider Identifier
1891841243
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
OMS64 Issued in CA
Practice address
853 Middlefield Rd Ste 4
Palo Alto, CA 94301-2919
Phone
(650) 617-1900
Fax
(650) 617-1907
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 Surgery (Dentist) 1223S0112X OMS64 CA Primary

Addresses

Primary practice location

853 Middlefield Rd Ste 4
Palo Alto, CA 94301-2919

Mailing address

900 Welch Rd
Suite 100
Palo Alto, CA 94304-1805
Phone (650) 617-1900

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 Dec 26, 2016 through Dec 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OMS64CAMDOral and Maxillofacial Surgery (Dentist)
64CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Alto Oral & Maxillofacial Surgery CurrentSince Jul 4, 2021 Accepting new patients

Locations

853 Middlefield Rd
Ste 4
Palo Alto, CA 94301
Phone (650) 617-1900

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1891841243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WELCH RD",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041805",
            "telephone_number": "650-617-1900",
            "fax_number": "650-617-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MIDDLEFIELD RD STE 4",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012919",
            "telephone_number": "650-617-1900",
            "fax_number": "650-617-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGHOOGHI",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS64",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.