Organization Active NPI

Bruce a Hartle DDS DC Co

  • General Practice Dentistry
  • Carlisle, OH
National Provider Identifier
1063511277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14497 Issued in OH
Legal business name
BRUCE A HARTLE DDS DC CO
Practice address
512 Central Ave
Carlisle, OH 45005-3328
Phone
(937) 746-3333
Fax
(937) 743-9554
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce A Hartle, DDSNPI 1538265418
Title
Owner
Phone
(937) 746-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14497 OH Primary

Addresses

Primary practice location

512 Central Ave
Carlisle, OH 45005-3328

Mailing address

512 Central Ave
Carlisle, OH 45005-3328
Phone (937) 746-3333

Other names 1

  • Carlisle Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

512 Central Ave
Carlisle, OH 45005
Phone (937) 746-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063511277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CENTRAL AVE",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450053328",
            "telephone_number": "937-746-3333",
            "fax_number": "937-743-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CENTRAL AVE",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450053328",
            "telephone_number": "937-746-3333",
            "fax_number": "937-743-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A HARTLE DDS DC CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTLE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-746-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlisle Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.