Active NPI
Robert Samuel Hart II, DDS
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1447273172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN4109
- Practice address
- 4710 N Habana Ave Ste 203
Tampa, FL 33614-7146 - Phone
- (813) 879-8097
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN4109 | FL | Primary |
Addresses
Primary practice location
4710 N Habana Ave Ste 203
Tampa, FL 33614-7146
Mailing address
16921 Crawley Rd
Odessa, FL 33556-2048
Phone (813) 382-3650
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 |
|---|---|---|---|
| DN4109 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Neuropsychiatry | Past | Accepting new patients | |
| McIlwain Dental Specialists | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Tampa, FL
- NPI 1386648863
-
- Behavioral Neurology & Neuropsychiatry Physician
- Tampa, FL
- NPI 1538617089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1447273172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16921 CRAWLEY RD",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562048",
"telephone_number": "813-382-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 N HABANA AVE STE 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147146",
"telephone_number": "813-879-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "ROBERT",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN4109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.