Individual provider Active NPI

Norah Hoverson, D.D.S.

  • Dentist
  • Minneapolis, MN
National Provider Identifier
1982097325
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14113 Issued in MN
Practice address
825 Nicollet Mall Ste 1737
Minneapolis, MN 55402-2704
Phone
(612) 332-1164
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14113 MN Primary

Addresses

Primary practice location

825 Nicollet Mall Ste 1737
Minneapolis, MN 55402-2704

Mailing address

825 Nicollet Mall Ste 1737
Minneapolis, MN 55402-2704
Phone (612) 332-1164

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D14113MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicollet Mall Dental Arts PLLC CurrentSince Dec 27, 2020 Accepting new patients

Locations

825 Nicollet Mall
Ste 1737
Minneapolis, MN 55402
Phone (612) 332-1164

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1982097325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1737",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022704",
            "telephone_number": "612-332-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1737",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022704",
            "telephone_number": "612-332-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVERSON",
        "first_name": "NORAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.