Active NPI
John Bigelow Hartman, DDS
- Periodontics
- San Francisco, CA
National Provider Identifier
1376832337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 21584
- Practice address
- 685 Commercial St
San Francisco, CA 94111-2503 - Phone
- (415) 421-0550
- Fax
- (415) 421-1097
- NPI assigned
- Mar 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 21584 | CA | Primary |
Addresses
Primary practice location
685 Commercial St
San Francisco, CA 94111-2503
Mailing address
685 Commercial St
San Francisco, CA 94111-2503
Phone (415) 421-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21584 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1376832337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 COMMERCIAL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941112503",
"telephone_number": "415-421-0550",
"fax_number": "415-421-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 COMMERCIAL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941112503",
"telephone_number": "415-421-0550",
"fax_number": "415-421-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "JOHN",
"middle_name": "BIGELOW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "21584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.