Jenna Lee Hart, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN23589 Issued in FL

Practice address

13241 Bartram Park Blvd Unit 1601
Jacksonville, FL 32258-5222

Phone

(904) 207-7700

NPI assigned

Jul 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Endodontics PLLC

  • Endodontics
  • Jacksonville, FL
  • NPI 1477295764
  NPD
• Endodontics 2 PLLC

  • Endodontics
  • Ponte Vedra, FL
  • NPI 1952045577
  NPD (past)

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1346736352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 1601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585222",
            "telephone_number": "904-207-7700",
            "fax_number": "904-746-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 1601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585222",
            "telephone_number": "904-207-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Town Plaza Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320815166",
            "country_code": "US",
            "telephone_number": "904-207-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "JENNA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23589",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN23589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Hart
• Cory Hart, CAA
• Davis Brent Hart, MSN
• Dwight David Hart, PSY.D.
• Haley Erin Hart
• Karen Hart, MSW
• Kaycee R Hart, L.M.T
• Leigh B Hart, ARNP
• Melody Ann Hart, PHARMD
• Mishele Lee Hart, LCSW

• Endodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.