Active NPI
Carla Hoekstra, D.D.S.
- General Practice Dentistry
- Sioux City, IA
National Provider Identifier
1972797017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08505
- Practice address
- 3900 Floyd Blvd
Sioux City, IA 51108-1552 - Phone
- (712) 239-5812
- Fax
- (712) 239-0662
- NPI assigned
- Aug 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08505 | IA | Primary |
Addresses
Primary practice location
3900 Floyd Blvd
Sioux City, IA 51108-1552
Mailing address
3900 Floyd Blvd
Sioux City, IA 51108-1552
Phone (712) 239-5812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08505 | Other | IA | GENERAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08505 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew T. McGuire, D.D.S., LLC | Past | Accepting new patients | |
| Richard F Hettinger | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Sioux City, IA
- NPI 1205361342
-
- General Practice Dentistry
- Sioux City, IA
- NPI 1053432047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1972797017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 FLOYD BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511081552",
"telephone_number": "712-239-5812",
"fax_number": "712-239-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 FLOYD BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511081552",
"telephone_number": "712-239-5812",
"fax_number": "712-239-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEKSTRA",
"first_name": "CARLA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL LICENSE",
"identifier": "08505",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.