Individual provider Active NPI

Robin D Hogan, DDS

  • General Practice Dentistry
  • Miles City, MT
National Provider Identifier
1942337050
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2205 Issued in MT
Practice address
2811 Comstock St
Miles City, MT 59301-5754
Phone
(406) 874-8711
Fax
(406) 851-5773
NPI assigned
Feb 27, 2007
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 2205 MT Primary

Addresses

Primary practice location

2811 Comstock St
Miles City, MT 59301-5754

Mailing address

2811 Comstock St
Miles City, MT 59301-5754
Phone (406) 874-8711

Other practice location 1

1820 Valley Drive E.
Miles City, MT 59301-2701
Phone (406) 234-2926

Other practice location 2

201 E 5th St
Sheridan, WY 82801-3658
Phone (406) 874-8711

Other practice location 3

311 W Main St
Lewistown, MT 59457-2770
Phone (406) 535-6545

Other practice location 4

530B Central Ave W
Harlem, MT 59526-9444
Phone (406) 353-4861

Other identifiers 2

IdentifierTypeStateIssuer
0033215OtherMTCHIP
0030888MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20221024000915 WY Practitioner - Dentist 5395127229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2205MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bighorn Valley Health Center Incorporated Current Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Jun 6, 2022 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince May 28, 2023 Accepting new patients
Hogan Family Dental Past Accepting new patients

Locations

10 4th St W
Ste B
Hardin, MT 59034
Phone (406) 237-5845

207 W Main St
Ste 5
Lewistown, MT 59457
Phone (406) 968-0172

311 W Main St
Lewistown, MT 59457
Phone (406) 535-6545

2811 Comstock St
Miles City, MT 59301
Phone (406) 874-8700

305 S 4th St
Miles City, MT 59301
Phone (406) 234-4724

201 E 5th St
Sheridan, WY 82801
Phone (307) 674-6995

Organizations & group practices 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1942337050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 COMSTOCK ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015754",
            "telephone_number": "406-874-8711",
            "fax_number": "406-851-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 COMSTOCK ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015754",
            "telephone_number": "406-874-8711",
            "fax_number": "406-851-5773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Valley Drive E.",
            "address_purpose": "LOCATION",
            "city": "Miles City",
            "state": "MT",
            "postal_code": "593012701",
            "country_code": "US",
            "telephone_number": "406-234-2926",
            "fax_number": "406-234-1590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828013658",
            "country_code": "US",
            "telephone_number": "406-874-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "MT",
            "postal_code": "594572770",
            "country_code": "US",
            "telephone_number": "406-535-6545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530B Central Ave W",
            "address_purpose": "LOCATION",
            "city": "Harlem",
            "state": "MT",
            "postal_code": "595269444",
            "country_code": "US",
            "telephone_number": "406-353-4861",
            "fax_number": "406-353-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "ROBIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "0033215",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030888",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.