Gary Andrew Hartman, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

VA10554 Issued in VA

Practice address

240 Mustang Trail
Suite 1
Virginia Beach, VA 23452-7516

Phone

(757) 498-5480

Fax

(757) 498-0184

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316163579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 NORTH ALANTON DRIVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-496-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MUSTANG TRAIL",
            "address_2": "SUITE 1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527516",
            "telephone_number": "757-498-5480",
            "fax_number": "757-498-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "GARY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "VA10554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Anna Hartley
• Jeff L Hartline, MPT
• Alyssa Hartman
• Danielle Meghan Hartman, DPT
• Gabrielle Hartman, M.S., OTR/L
• Jacqueline Hartman
• Mackenzie A Hartman
• Shirley Turner Hartman, NP
• Kathrin Hartmann, PH.D.
• Joseph C Hartneck, MD

• Periodontics in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.