Stephanie J Hardwick DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

STEPHANIE J HARDWICK DDS INC

Practice address

770 Tamalpais Dr Ste 317
Corte Madera, CA 94925-1737

Phone

(775) 303-2282

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie June Hardwick, DDSNPI 1881969517

Title

Pediatric Dentist

Phone

(415) 329-6780

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mt. Tam Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie June Hardwick, DDS

  • Pediatric Dentistry
  • New York, NY
  • NPI 1881969517
  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1679164339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 CORTE MADERA AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251306",
            "telephone_number": "775-303-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR STE 317",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251737",
            "telephone_number": "775-303-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE J HARDWICK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "415-329-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TY1",
            "identifier": "1881969517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Tam Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Tam Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.