Paul Kimball Hartmann, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0428000093 Issued in VA

Practice address

1323 Jamestown Road
Williamsburg, VA 23815-3367

Phone

(757) 253-2393

Fax

(757) 259-0433

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adam E. Schmidt DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsburg, VA
  • NPI 1255143327
  NPD (past)
• Ronald Tankersley DDS Numa Ray Lee DDS Jeffrey N Kenney DDS W Les

  • Oral and Maxillofacial Surgery (Dentist)
  • Newport News, VA
  • NPI 1295930097
  NPD (past)
• TDT Oms

  • Oral and Maxillofacial Surgery (Dentist)
  • Newport News, VA
  • NPI 1831476886
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1376523076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 202B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064262",
            "telephone_number": "757-595-8961",
            "fax_number": "757-595-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 JAMESTOWN ROAD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "238153367",
            "telephone_number": "757-253-2393",
            "fax_number": "757-259-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMANN",
        "first_name": "PAUL",
        "middle_name": "KIMBALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006500",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000093",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0428000093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Stephen Harrison, D.O.
• Mikaila Erin Hartigan, PT, DPT
• Richard J Hartle, MD
• Jacob A Hartley, D.M.D
• Cynthia J Hartman, PT
• Nassim Hartung, LCSW
• Karly Hartz, LPC
• Harvest Healthcare Consultants LLC
• Alexander Harvey
• Natoya Hill Haskins, PHD

• General Practice Dentistry in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.