Individual provider Active NPI

Toshi Hart, DDS

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1033237466
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40565 Issued in CA
Practice address
4213 Dale Rd
Suite B-6
Modesto, CA 95356-8505
Phone
(209) 543-6937
Fax
(209) 543-6615
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40565 CA Primary

Addresses

Primary practice location

4213 Dale Rd
Suite B-6
Modesto, CA 95356-8505

Mailing address

4213 Dale Rd
Suite B-6
Modesto, CA 95356-8505
Phone (209) 543-6937

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

State licenses

LicenseStateTypeSpecialty
40565CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Chase DDS Ma & Toshi Hart DDS Inc General Practice Current Accepting new patients
Toshi Hart DDS Inc General Practice Current Accepting new patients

Locations

130 La Casa Via
Ste 104B
Walnut Creek, CA 94598

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1033237466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 DALE RD",
            "address_2": "SUITE B-6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568505",
            "telephone_number": "209-543-6937",
            "fax_number": "209-543-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 DALE RD",
            "address_2": "SUITE B-6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568505",
            "telephone_number": "209-543-6937",
            "fax_number": "209-543-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "TOSHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.