Organization Active NPI

Jon L Hardinger

  • Dental Clinic/Center
  • Mason City, IA
National Provider Identifier
1366609364
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6432 Issued in IA
Legal business name
JON L HARDINGER
Practice address
1339 6TH St SW
Mason City, IA 50401-4815
Phone
(641) 423-6172
Fax
(641) 423-6248
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Jon Lincoln Hardinger, DDSNPI 1336259878
Title
Owner
Phone
(641) 423-6172

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
Dental Clinic/Center 261QD0000X 6432 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

National Provider Directory

National Provider Directory

Locations

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

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1366609364",
    "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"
        },
        {
            "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": {
        "organization_name": "JON L HARDINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HARDINGER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-423-6172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6432",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.