Active NPI
J. Matthew Hogendobler, D.M.D.
- General Practice Dentistry
- Virginia Beach, VA
National Provider Identifier
1972641561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401007115
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Virginia Beach, VA
- NPI 1932247517
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.