Active NPI
Carrie Beth Hartline, HYGIENIST
- Dental Hygienist
- Greenville, TX
National Provider Identifier
1083982920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3704
- Practice address
- 3600 Caddo St
Greenville, TX 75401-4511 - Phone
- (903) 454-6965
- Fax
- (903) 454-7981
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3704 | TX | Primary |
Addresses
Primary practice location
3600 Caddo St
Greenville, TX 75401-4511
Mailing address
3914 County Road 3110
Campbell, TX 75422-3244
Phone (903) 456-9124
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3704 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Service Agency, Inc. | 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.
-
- Federally Qualified Health Center (FQHC)
- Greenville, TX
- NPI 1871844167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1083982920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 COUNTY ROAD 3110",
"city": "CAMPBELL",
"state": "TX",
"postal_code": "754223244",
"telephone_number": "903-456-9124",
"fax_number": "903-454-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 CADDO ST",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754014511",
"telephone_number": "903-454-6965",
"fax_number": "903-454-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLINE",
"first_name": "CARRIE",
"middle_name": "BETH",
"credential": "HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "3704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.