Active NPI
Thomas Hart
- Periodontics
- Bethesda, MD
National Provider Identifier
1578707626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6440
- Practice address
- 10 Center Dr
Building 10; Room 5N-102
Bethesda, MD 20892-0001 - Phone
- (302) 402-0262
- Fax
- (201) 480-2055
- NPI assigned
- Apr 20, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6440 | NC | Primary |
Addresses
Primary practice location
10 Center Dr
Building 10; Room 5N-102
Bethesda, MD 20892-0001
Mailing address
10 Center Dr
Building 10; Room 5N-102
Bethesda, MD 20892-0001
Phone (302) 402-0262
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 |
|---|---|---|---|
| 6440 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1578707626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "BUILDING 10; ROOM 5N-102",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "302-402-0262",
"fax_number": "201-480-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "BUILDING 10; ROOM 5N-102",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "302-402-0262",
"fax_number": "201-480-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "6440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.