Individual provider Active NPI

Yvonne Hart, D.D.S., M.S.

  • Prosthodontics
  • Phoenixville, PA
National Provider Identifier
1194932095
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS041151 Issued in PA
Practice address
300 Schuylkill Rd
Phoenixville, PA 19460-5202
Phone
(610) 933-7001
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS041151 PA Primary
Prosthodontics 1223P0700X 5001949 WI

Addresses

Primary practice location

300 Schuylkill Rd
Phoenixville, PA 19460-5202

Mailing address

990 Brower Rd
Wayne, PA 19087-2210
Phone (262) 227-1608

Other practice location 1

1300 S Greenbay Rd
Suite 206
Racine, WI 53406-4469
Phone (262) 633-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20151210000993 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7719288026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS041151PAMDProsthodontist
5001949WIMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1194932095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 BROWER RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872210",
            "telephone_number": "262-227-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCHUYLKILL RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605202",
            "telephone_number": "610-933-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Greenbay Rd",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534064469",
            "country_code": "US",
            "telephone_number": "262-633-4000",
            "fax_number": "262-633-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "YVONNE",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS041151",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "5001949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.