Active NPI
Chad Hoge, DDS, MS
- Pediatric Dentistry
- Fargo, ND
National Provider Identifier
1992891428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2000
- Practice address
- 4423 45TH St S
Fargo, ND 58104-4491 - Phone
- (701) 478-5439
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2000 | ND | Primary |
Addresses
Primary practice location
4423 45TH St S
Fargo, ND 58104-4491
Mailing address
2761 Rivers Bend Dr E
West Fargo, ND 58078-8541
Phone (701) 200-6394
Other practice location 1
3990 S Columbia Rd
Grand Forks, ND 58201-3604
Phone (701) 746-1400
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Pediatric Dentistry Partnership | Pediatric Dentistry | Current | Accepting new patients |
| Dakota Pediatric Dentistry Partnership | Pediatric Dentistry | Current | Accepting new patients |
| Dakota Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
Locations
4423 45th St S
Fargo, ND 58104
Phone (701) 478-5439
3990 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 527-4855
Organizations & group practices 3
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.
-
- Pediatric Dentistry
- Fargo, ND
- NPI 1346811965
-
- Pediatric Dentistry
- Grand Forks, ND
- NPI 1821761537
-
- Pediatric Dentistry
- Fargo, ND
- NPI 1487824991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1992891428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 RIVERS BEND DR E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580788541",
"telephone_number": "701-200-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 45TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581044491",
"telephone_number": "701-478-5439"
}
],
"practiceLocations": [
{
"address_1": "3990 S Columbia Rd",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582013604",
"country_code": "US",
"telephone_number": "701-746-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGE",
"first_name": "CHAD",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "ND",
"license": "2000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.