Kristopher Rex Harth, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN18273 Issued in FL

Practice address

105 Solana Rd Ste a
Ponte Vedra, FL 32082-5229

Phone

(904) 285-7711

Fax

(904) 285-7895

NPI assigned

Sep 8, 2008

Last updated

Sep 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ponte Vedra Complete Dentistry, PA

  • Dentist
  • Ponte Vedra, FL
  • NPI 1346260155
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1679721286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOLANA RD STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825229",
            "telephone_number": "904-285-7711",
            "fax_number": "904-285-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOLANA RD STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825229",
            "telephone_number": "904-285-7711",
            "fax_number": "904-285-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTH",
        "first_name": "KRISTOPHER",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H2 Rehabilitation Services of Florida LLC
• Erica Manger Hamburger, DC
• Tracy Hannah
• Joshua M Harrison, M.D.
• Emily K Hart, LAC, AP
• Kelli Ann Hathaway, APRN
• Joan K Hirshenson, RD, LDN
• Andrew Joseph Hogan, M.D.
• Jessica Holesko, MS, LMFT
• Holiday CVS LLC (CVS Pharmacy 03631)

• Dentist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.