Individual provider Active NPI

Lashawn Jenay Hart

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1427614031
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11396 Issued in NC
Practice address
3219 Watkins Rd Ste 103
Durham, NC 27707-3331
Phone
(919) 813-2267
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11396 NC Primary

Addresses

Primary practice location

3219 Watkins Rd Ste 103
Durham, NC 27707-3331

Mailing address

502 Fontaine St
Reidsville, NC 27320-3108
Phone (336) 613-4918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20191218003357 NC Practitioner - Dentist 9234563511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oyegunwa and Associates II, PLLC General Practice CurrentSince Nov 19, 2023 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP PastSince Sep 28, 2019 Accepting new patients

Locations

3219 Watkins Rd
Ste 103
Durham, NC 27707
Phone (919) 813-2267

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1427614031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FONTAINE ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203108",
            "telephone_number": "336-613-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 WATKINS RD STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073331",
            "telephone_number": "919-813-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "LASHAWN",
        "middle_name": "JENAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.