Individual provider Active NPI

Jon Lincoln Hardinger, DDS

  • General Practice Dentistry
  • Mason City, IA
National Provider Identifier
1336259878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6436 Issued in IA
Practice address
1339 6TH St SW
Mason City, IA 50401-4815
Phone
(641) 423-6172
Fax
(641) 423-6248
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6436 IA Primary

Addresses

Primary practice location

1339 6TH St SW
Mason City, IA 50401-4815

Mailing address

1339 6TH St SW
Mason City, IA 50401-4815
Phone (641) 423-6172

Other identifiers 1

IdentifierTypeStateIssuer
0164301MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202000311 IA Order and Referring Only - Other (Non-Physician) 0446575039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06436IAMDClinical Social Worker
6436IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jon L Hardinger Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336259878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014815",
            "telephone_number": "641-423-6172",
            "fax_number": "641-423-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014815",
            "telephone_number": "641-423-6172",
            "fax_number": "641-423-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDINGER",
        "first_name": "JON",
        "middle_name": "LINCOLN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164301",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.