TRAVIS HOGAN
NPI 1972155414
Dentist - General Practice in Phoenix, AZ

Active since July 15, 2019PECOS Enrolled
3409 N 56TH ST STE B, PHOENIX, AZ 85018(480) 947-4791 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 5, 2020, Jul 15, 2019 (2 updates tracked since 2019).

About Travis Hogan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS HOGAN (NPI 1972155414) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (D012588) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Queen Creek.

NPPES Registry Identity

NPI1972155414
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTRAVIS HOGAN
Location Address3409 N 56TH ST STE BPhoenix, AZ 85018-6150
Mailing Address3409 N 56th St Ste BPhoenix, AZ 85018-6150 · (480) 947-4791
Sole ProprietorNo
Enumeration DateJuly 15, 2019
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1972155414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D012588
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3409 N 56TH ST STE B, Phoenix, AZ 85018

Secondary Practice Location 1

Location 121295 S Ellsworth Loop Rd Ste 103Queen Creek, AZ 85142-9867 · Phone (480) 771-8190

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Travis Hogan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3409 N 56TH ST STE B
PHOENIX, AZ 85018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Hogan's NPI number?

The NPI number for Travis Hogan is 1972155414. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Travis Hogan located?

Travis Hogan practices at 3409 N 56th St Ste B, Phoenix, AZ 85018. The listed phone number is (480) 947-4791.

What is Travis Hogan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Travis Hogan enrolled in Medicare?

Yes. Travis Hogan is registered in the Medicare PECOS enrollment system.

What insurance does Travis Hogan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona and 4 other insurers list Travis Hogan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Travis Hogan was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.