Organization Active NPI

J. Matthew Hogendobler, D.M.D.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1972641561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007115 Issued in VA
Legal business name
J. MATTHEW HOGENDOBLER, D.M.D.
Practice address
1729 Wildwood Dr Ste 104
Linkhorn Point Professional Center
Virginia Beach, VA 23454-3176
Phone
(757) 481-5454
Fax
(757) 481-9236
NPI assigned
Feb 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. J. Matthew Hogendobler, B.S., D.M.D.
Title
Owner
Phone
(757) 481-7811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007115 VA Primary

Addresses

Primary practice location

1729 Wildwood Dr Ste 104
Linkhorn Point Professional Center
Virginia Beach, VA 23454-3176

Mailing address

2209 N Lakeside Dr
Eastwood Manor House
Virginia Beach, VA 23454-2017
Phone (757) 481-7811

National Provider Directory

National Provider Directory

Locations

1729 Wildwood Dr
Ste 104
Virginia Beach, VA 23454
Phone (757) 428-2571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972641561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N LAKESIDE DR",
            "address_2": "EASTWOOD MANOR HOUSE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542017",
            "telephone_number": "757-481-7811",
            "fax_number": "757-481-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 WILDWOOD DR STE 104",
            "address_2": "LINKHORN POINT PROFESSIONAL CENTER",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543176",
            "telephone_number": "757-481-5454",
            "fax_number": "757-481-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MATTHEW HOGENDOBLER, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGENDOBLER",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-481-7811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.