Timothy O. Hart DDS Ms, LTD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

1896G Issued in WI

Legal business name

TIMOTHY O. HART DDS MS, LTD

Practice address

1720 E Lake Bluff Blvd
Shorewood, WI 53211-1517

Phone

(414) 962-1800

Fax

(414) 962-2302

NPI assigned

Jan 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Otto Hart, D.D.S.NPI 1134275597

Title

President

Phone

(414) 962-1800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Otto Hart, D.D.S.

  • Prosthodontics
  • Denver, CO
  • NPI 1134275597
  NPD (past) Authorized official
• Carolyn Griffin, DDS, MS

  • Dentist
  • Shorewood, WI
  • NPI 1336589134
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619023082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E LAKE BLUFF BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111517",
            "telephone_number": "414-962-1800",
            "fax_number": "414-962-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LAKE BLUFF BLVD",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111517",
            "telephone_number": "414-962-1800",
            "fax_number": "414-962-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY O. HART DDS MS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "OTTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-962-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "1896G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Uribe
• Anika Vallejo, LPC

• Prosthodontics in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Prosthodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.