Individual provider Active NPI

Stephanie Lynn Hirt, DMD

  • General Practice Dentistry
  • Haddon TWP, NJ
National Provider Identifier
1467543702
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
BH9474254 Issued in NJ
Practice address
216 Haddon Ave
Suite 109
Haddon TWP, NJ 08108
Phone
(856) 888-4478
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS036803 PA
General Practice Dentistry 1223G0001X BH9474254 NJ Primary

Addresses

Primary practice location

216 Haddon Ave
Suite 109
Haddon TWP, NJ 08108

Mailing address

216 Haddon Ave
Suite 109
Haddon TWP, NJ 08108
Phone (856) 888-4478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160120001134 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961705249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036803PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Family Dental, P.a. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1467543702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HADDON AVE",
            "address_2": "SUITE 109",
            "city": "HADDON TWP",
            "state": "NJ",
            "postal_code": "08108",
            "telephone_number": "856-888-4478",
            "fax_number": "856-983-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HADDON AVE",
            "address_2": "SUITE 109",
            "city": "HADDON TWP",
            "state": "NJ",
            "postal_code": "08108",
            "telephone_number": "856-888-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRT",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036803",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "BH9474254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon TWP, NJ

Sources for this page

Verify at the official NPI Registry.