NPIMap

Organization Active NPI

John L Hardesty DDS Inc

  • Dentist
  • Burton, OH
National Provider Identifier
1164513818
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17792 Issued in OH
Legal business name
JOHN L HARDESTY DDS INC
Practice address
14527 N Cheshire St
Burton, OH 44021
Phone
(440) 834-4020
Fax
(440) 834-1971
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. John L Hardesty, DDS
Title
Officer
Phone
(440) 834-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 17792 OH Primary

Addresses

Primary practice location

14527 N Cheshire St
Burton, OH 44021

Mailing address

14527 N Cheshire St
PO Box 401
Burton, OH 44021
Phone (440) 834-4020

National Provider Directory

National Provider Directory

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1164513818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14527 N CHESHIRE ST",
            "address_2": "PO BOX 401",
            "city": "BURTON",
            "state": "OH",
            "postal_code": "44021",
            "telephone_number": "440-834-4020",
            "fax_number": "440-834-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 N CHESHIRE ST",
            "city": "BURTON",
            "state": "OH",
            "postal_code": "44021",
            "telephone_number": "440-834-4020",
            "fax_number": "440-834-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L HARDESTY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "440-834-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "17792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, OH

Sources for this page

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