Individual provider Active NPI

Jacqueline Anne-Marie Hogan, D.M.D

  • Prosthodontics
  • Newport, RI
National Provider Identifier
1942535851
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS037510 Issued in PA
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

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713000637 PA Order and Referring Only - DentistPractitioner - Dentist 8426450537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037510PAMDProsthodontist

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

Verify at the official NPI Registry.