Active NPI
Nikki Lee Hartline
- Dentist
- Danville, VA
National Provider Identifier
1487148102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416070
- Practice address
- 770 Piney Forest Rd
Danville, VA 24540-2876 - Phone
- (330) 243-1622
- NPI assigned
- Jun 16, 2018
- Sex
- Female
- 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 | 0401416070 | VA | Primary |
Addresses
Primary practice location
770 Piney Forest Rd
Danville, VA 24540-2876
Mailing address
315 Lynn St Apt 203
Danville, VA 24541-1478
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 |
|---|---|---|---|
| 0401416070 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1487148102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 LYNN ST APT 203",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PINEY FOREST RD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245402876",
"telephone_number": "330-243-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLINE",
"first_name": "NIKKI",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-16",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.