Active NPI
Alvin H Hartness, M.D.
- Pediatrics Physician
- Fayetteville, NC
National Provider Identifier
1295771871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14679
- Practice address
- 514 Owen Dr
Fayetteville, NC 28304-3432 - Phone
- (910) 323-4571
- Fax
- (910) 323-4620
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14679 | NC | Primary |
Addresses
Primary practice location
514 Owen Dr
Fayetteville, NC 28304-3432
Mailing address
514 Owen Dr
Fayetteville, NC 28304-3432
Phone (910) 323-4571
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40322 | Other | NC | BLUE CROSS PIN |
| 8940322 | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14679 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295771871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043432",
"telephone_number": "910-323-4571",
"fax_number": "910-323-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043432",
"telephone_number": "910-323-4571",
"fax_number": "910-323-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTNESS",
"first_name": "ALVIN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "14679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "40322",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8940322",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.