Individual provider Active NPI

Jamie Hardy, D.D.S

  • Pediatric Dentistry
  • Richmond, TX
National Provider Identifier
1225463755
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
32140 Issued in TX
Practice address
4808 Waterview Town Center Dr Ste 500
Richmond, TX 77407-3548
Phone
(832) 500-0664
Fax
(832) 558-2100
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 32140 TX Primary
Dentist 122300000X 9594 NC

Addresses

Primary practice location

4808 Waterview Town Center Dr Ste 500
Richmond, TX 77407-3548

Mailing address

4808 Waterview Town Center Dr Ste 500
Richmond, TX 77407-3548
Phone (832) 500-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161021000128 TX Order and Referring Only - DentistPractitioner - Dentist 3870871122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32140TXMDClinical Psychologist
9594NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JP Dental, PC Pediatric Dentistry CurrentSince Dec 5, 2021 Accepting new patients

Locations

4808 Waterview Town Center Dr
Ste 500
Richmond, TX 77407
Phone (832) 500-0664

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.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1225463755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 WATERVIEW TOWN CENTER DR STE 500",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073548",
            "telephone_number": "832-500-0664",
            "fax_number": "832-558-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 WATERVIEW TOWN CENTER DR STE 500",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073548",
            "telephone_number": "832-500-0664",
            "fax_number": "832-558-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32140",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.