Individual provider Active NPI

Christian Keith Hart, DDS

  • General Practice Dentistry
  • Belmont, NC
National Provider Identifier
1205495074
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11395 Issued in NC
Practice address
210 Beatty Dr Ste 206
Belmont, NC 28012-2716
Phone
(704) 461-0031
Fax
(704) 461-0036
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11395 NC Primary
General Practice Dentistry 1223G0001X 0401416518 VA

Addresses

Primary practice location

210 Beatty Dr Ste 206
Belmont, NC 28012-2716

Mailing address

210 Beatty Dr Ste 206
Belmont, NC 28012-2716
Phone (704) 461-0031

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
0401416518VAMDGeneral Practice Dentistry
11395NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Hart, DDS, PLLC Current Accepting new patients
Ridgetop Dental of Reston, PLLC PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 2

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1205495074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BEATTY DR STE 206",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122716",
            "telephone_number": "704-461-0031",
            "fax_number": "704-461-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEATTY DR STE 206",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122716",
            "telephone_number": "704-461-0031",
            "fax_number": "704-461-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "CHRISTIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11395",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.