Individual provider Active NPI

Chad Hoge, DDS, MS

  • Pediatric Dentistry
  • Fargo, ND
National Provider Identifier
1992891428
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2000 Issued in ND
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

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Dakota Pediatric Dentistry Partnership Pediatric Dentistry CurrentSince Aug 1, 2021 Accepting new patients
Dakota Pediatric Dentistry Partnership Pediatric Dentistry CurrentSince Aug 1, 2021 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.

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.

Verify at the official NPI Registry.