Individual provider Active NPI

Philip Carey Hardee, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Andalusia, AL
National Provider Identifier
1063668523
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2960 Issued in AL
Practice address
1104 Sanford Rd
Andalusia, AL 36420-4150
Phone
(334) 222-1153
Fax
(334) 427-7233
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2960 AL Primary

Addresses

Primary practice location

1104 Sanford Rd
Andalusia, AL 36420-4150

Mailing address

PO Box 1111
Andalusia, AL 36420-1222
Phone (334) 222-1153

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
2960ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Smilesfirst, LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1063668523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201222",
            "telephone_number": "334-222-1153",
            "fax_number": "334-427-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 SANFORD RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204150",
            "telephone_number": "334-222-1153",
            "fax_number": "334-427-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEE",
        "first_name": "PHILIP",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "2960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.