Individual provider Active NPI

Harry Allen Hart, DDS

  • General Practice Dentistry
  • Desert Hot Springs, CA
National Provider Identifier
1598812802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30554 Issued in CA
Practice address
11999 Palm Dr
Desert Hot Springs, CA 92240-3609
Phone
(760) 329-6713
Fax
(760) 329-1088
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30554 CA Primary

Addresses

Primary practice location

11999 Palm Dr
Desert Hot Springs, CA 92240-3609

Mailing address

2363 Trafalgar Ave
Riverside, CA 92506-4627
Phone (951) 377-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210630003154 CA Practitioner - Oral SurgeryPractitioner - Dentist 5395048011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Calif, Los Angeles School of Dentistry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

56728 29 Palms Hwy
Yucca Valley, CA 92284-2941
Phone (760) 365-6595

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Hart Dental Corporation CurrentSince Apr 1, 2021 Accepting new patients
Hart Family Dental General Practice PastSince Apr 1, 2021 Accepting new patients
Hart Family Dental General Practice Past Accepting new patients

Locations

11523 Palm Dr
Desert Hot Springs, CA 92240
Phone (760) 329-6713

56728 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 365-6595

Organizations & group practices 3

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598812802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 TRAFALGAR AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064627",
            "telephone_number": "951-377-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403609",
            "telephone_number": "760-329-6713",
            "fax_number": "760-329-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "HARRY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

Verify at the official NPI Registry.