Benjamin Gerald Hardy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6497 Issued in NE

Practice address

11516 Miracle Hills Dr Ste 101
Omaha, NE 68154-4473

Phone

(402) 867-6247

Fax

(402) 867-6248

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1518040187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 MIRACLE HILLS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545311",
            "telephone_number": "402-867-6247",
            "fax_number": "402-867-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 MIRACLE HILLS DR STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544473",
            "telephone_number": "402-867-6247",
            "fax_number": "402-867-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "BENJAMIN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Hardridge
• Adrienne Hardt, LMHP
• Patricia Ann Hardt, ARNP
• Tyrell Hardy Henderson
• Alicia M Hardy, LPN
• Benjamin L Hardy
• Brianna Hardy
• Christian Hardy, LIMHP, CPC
• Darnell Hardy
• Demarcus Jujuan Hardy

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.