Desiree Hardy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.035004 Issued in IL

Practice address

1 Chicago Ave
Oak Park, IL 60302-2432

Phone

(708) 948-7744

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in WI

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

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.

• Pro Dental Il - Chad Wise PC

  dba Destiny Dental of Oak Park

  • Dentist
  • Oak Park, IL
  • NPI 1710714233
  NPD
• D2 Dental of Lansing, P.C.

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1891259768
  NPD (past)

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1457840829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 W CHESTNUT ST UNIT 1909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103030",
            "telephone_number": "414-416-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022432",
            "telephone_number": "708-948-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "DESIREE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001833-15",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.035004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malak Iyad Hanash
• Donna M Hanlon, MD
• Majeeda Hanna, LAC, DIPL. OM
• Hannah O'Connor LCSW PLCC
• Jackie T. Hardenbergh, MA, BCBA
• Krista Hardy
• Christine Marie Hare, APN, FNP-BC
• Christa Harlin-Egan, MD
• Harmony Beauty Co
• Sari Haro, CCC-SLP

• Dentist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.