Active NPI
Carl Mark Hoeg
- Behavior Technician
- Auburn, CA
National Provider Identifier
1992234694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 457 Grass Valley Hwy Ste 12
Auburn, CA 95603-3725 - Phone
- (530) 888-7032
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 106S00000X | Primary |
Addresses
Primary practice location
457 Grass Valley Hwy Ste 12
Auburn, CA 95603-3725
Mailing address
403 Henderson St Apt 4
Grass Valley, CA 95945-7363
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1992234694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 HENDERSON ST APT 4",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959457363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 GRASS VALLEY HWY STE 12",
"city": "AUBURN",
"state": "CA",
"postal_code": "956033725",
"telephone_number": "530-888-7032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEG",
"first_name": "CARL",
"middle_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "106S00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.