Organization Active NPI

David a Hart MD PC

  • Adult Mental Health Clinic/Center
  • Corvallis, OR
National Provider Identifier
1336680784
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MD19540 Issued in OR
Legal business name
DAVID A HART MD PC
Practice address
1300 NW Harrison Blvd
Suite B-10
Corvallis, OR 97330-6277
Phone
(541) 738-2911
Fax
(541) 738-2738
NPI assigned
Mar 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Authorized official

Name
Dr. David Arthur Hart, MDNPI 1780648501
Title
President
Phone
(541) 738-2911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD19540 OR Primary

Addresses

Primary practice location

1300 NW Harrison Blvd
Suite B-10
Corvallis, OR 97330-6277

Mailing address

1300 NW Harrison Blvd
Suite B-10
Corvallis, OR 97330-6277
Phone (541) 738-2911

National Provider Directory

National Provider Directory

Locations

1300 NW Harrison Blvd
Ste B10
Corvallis, OR 97330
Phone (541) 738-2911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1336680784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NW HARRISON BLVD",
            "address_2": "SUITE B-10",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306277",
            "telephone_number": "541-738-2911",
            "fax_number": "541-738-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW HARRISON BLVD",
            "address_2": "SUITE B-10",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306277",
            "telephone_number": "541-738-2911",
            "fax_number": "541-738-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A HART MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-738-2911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "MD19540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.