Active NPI
David Fred Hardy, DDS
- Dentist
- Sonora, CA
National Provider Identifier
1407069958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22737
- Practice address
- 641 Woods Creek Dr
Suite a
Sonora, CA 95370 - Phone
- (209) 532-1431
- Fax
- (209) 532-0971
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22737 | CA | Primary |
Addresses
Primary practice location
641 Woods Creek Dr
Suite a
Sonora, CA 95370
Mailing address
641 Woods Creek Dr
Suite a
Sonora, CA 95370
Phone (209) 532-1431
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407069958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 WOODS CREEK DR",
"address_2": "SUITE A",
"city": "SONORA",
"state": "CA",
"postal_code": "95370",
"telephone_number": "209-532-1431",
"fax_number": "209-532-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 WOODS CREEK DR",
"address_2": "SUITE A",
"city": "SONORA",
"state": "CA",
"postal_code": "95370",
"telephone_number": "209-532-1431",
"fax_number": "209-532-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "DAVID",
"middle_name": "FRED",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "22737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.