Individual provider Active NPI

Kori D Hardaway, DDS

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1578745147
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23673 Issued in TX
Practice address
4898 Little Rd
Arlington, TX 76017-1054
Phone
(214) 821-6468
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122274 GA
General Practice Dentistry 1223G0001X 23673 TX Primary

Addresses

Primary practice location

4898 Little Rd
Arlington, TX 76017-1054

Mailing address

4898 Little Rd
Arlington, TX 76017-1054
Phone (214) 821-6468

Other practice location 1

4014 Lawrenceville Hwy NW
Lilburn, GA 30047-2205
Phone (214) 821-6468

Other names 1

  • Dr. Kori Danielle Hardaway Professional name

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

LicenseStateTypeSpecialty
DN122274GAMDDentist
23673TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1578745147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171054",
            "telephone_number": "214-821-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171054",
            "telephone_number": "214-821-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 Lawrenceville Hwy NW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300472205",
            "country_code": "US",
            "telephone_number": "214-821-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDAWAY",
        "first_name": "KORI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122274",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORI",
            "last_name": "HARDAWAY",
            "middle_name": "DANIELLE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.