Active NPI
Jacqueline Anne-Marie Hogan, D.M.D
- Prosthodontics
- Newport, RI
National Provider Identifier
1942535851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS037510
- Practice address
- 43 Smith Rd
Newport, RI 02841-1006 - Phone
- (401) 841-3771
- NPI assigned
- Oct 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037510 | PA | |
| Prosthodontics | 1223P0700X | DS037510 | PA | Primary |
Addresses
Primary practice location
43 Smith Rd
Newport, RI 02841-1006
Mailing address
43 Smith Rd
Newport, RI 02841-1006
Other practice location 1
1550 Tomcat Blvd Bldg 285
Virginia Beach, VA 23460-2218
Phone (757) 953-3923
Other practice location 2
450 Turner St Bldg 3600
Pensacola, FL 32508-5211
Phone (850) 452-5613
Other practice location 3
PSC 455 Box 171
Branch Dental Clinic Guam
Fpo, AP 96540-1674
Phone (671) 339-3175 ext. 2367
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacqueline.a.hogan4.mil@health.mil | Direct | |
| Direct Messaging Address | jacqueline.a.hogan4.mil@health.mil | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713000637 | PA | Order and Referring Only - Dentist | 8426450537 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037510 | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1942535851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 SMITH RD",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028411006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 SMITH RD",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028411006",
"telephone_number": "401-841-3771"
}
],
"practiceLocations": [
{
"address_1": "1550 Tomcat Blvd Bldg 285",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234602218",
"country_code": "US",
"telephone_number": "757-953-3923",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Turner St Bldg 3600",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325085211",
"country_code": "US",
"telephone_number": "850-452-5613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PSC 455 Box 171",
"address_2": "Branch Dental Clinic Guam",
"address_purpose": "LOCATION",
"city": "FPO",
"state": "AP",
"postal_code": "965401674",
"country_code": "US",
"telephone_number": "671-339-3175 x2367",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "HOGAN",
"first_name": "JACQUELINE",
"middle_name": "ANNE-MARIE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037510",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS037510",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jacqueline.a.hogan4.mil@health.mil",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "43 Smith Rd",
"city": "Newport",
"state": "RI",
"country_code": "US",
"postal_code": "028411006",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jacqueline.a.hogan4.mil@health.mil",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1550 Tomcat Blvd Bldg 285",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234602218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.