Edwin S Hargett III, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN013090 Issued in GA

Practice address

229 Carl Vinson Pkwy
Warner Robins, GA 31088-5815

Phone

(478) 922-4922

Fax

(478) 929-5292

NPI assigned

Aug 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Associates of Warner Robins, LLC

  • General Practice Dentistry
  • Warner Robins, GA
  • NPI 1356488118
  NPD (past) Authorized official
• Professional Dental Alliance Warner Robins C Vinson Pky, LLC

  • Dentist
  • Warner Robins, GA
  • NPI 1013488139
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1073769857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885815",
            "telephone_number": "478-922-4922",
            "fax_number": "478-929-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885815",
            "telephone_number": "478-922-4922",
            "fax_number": "478-929-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGETT",
        "first_name": "EDWIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer L Hardee
• Richard Kyle Hardeman
• Sherise Harden Harden, MS, MS
• Deedra Hardrick
• Zakia Hardy
• Verlyn Gail Hargrove
• Hariyebbe C. Jayaraj, MD, PC
• Ashley Nicole Harmon
• Brittany Harmon, M.ED CCC-SLP, CAS
• Shataria March Harrell, RN

• Dentist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.