Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972155414 Individual Practitioner Male Practitioner

Travis Hogan

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Travis Hogan is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 3409 N 56TH ST STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3409 N 56th St Ste B

Phoenix, AZ 850186150

Telephone 4809474791
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D012588

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.

Secondary Practice Locations

21295 S Ellsworth Loop Rd Ste 103

Queen Creek, AZ 851429867

Phone: 4807718190

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gerald Woodrow , DDS

Dentist - General Practice

NPI 1962556597

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 29, 2025

Registered at 3409 N 56TH ST STE B, PHOENIX, AZ 850186150 (Tel: 4809474791)

📍
Updated Business Mailing Address September 29, 2025

Registered at 3409 N 56TH ST STE B, PHOENIX, AZ 850186150 (Tel: 4809474791)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2025

Dentist (License #D012588 in AZ)

📍
Updated Practice Location August 05, 2020

Registered at 865 N ARIZOLA RD, CASA GRANDE, AZ 851226011 (Tel: 5208363446)

📍
Updated Business Mailing Address August 05, 2020

Registered at PO BOX 10097, CASA GRANDE, AZ 851300020 (Tel: 5208363446)

NPI Profile Active July 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2019

Registered at 14858 N FRANK LLOYD WRIGHT BLVD STE 165, SCOTTSDALE, AZ 852602216 (Tel: 4808604455)

📍
Updated Business Mailing Address July 15, 2019

Registered at 1675 E MORTEN AVE UNIT 3110, PHOENIX, AZ 850204690 (Tel: 4022147045)

👤
Provider Name / Credentials Updated July 15, 2019

Recorded as TRAVIS HOGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Dentist (License #D010419 in AZ)

🟢
Initial NPI Registration & Enumeration July 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972155414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2019
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

3409 N 56th St Ste B

Phoenix, AZ 850186150

Phone: 4809474791

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.