Individual provider Active NPI

Annelise Cecile Hardin, DDS, MS

  • Pediatric Dentistry
  • Chapel Hill, NC
National Provider Identifier
1699867283
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7773 Issued in NC
Practice address
1504 E Franklin St Ste 101
Chapel Hill, NC 27514-2820
Phone
(919) 967-2773
Fax
(919) 967-2774
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 7773 NC Primary

Addresses

Primary practice location

1504 E Franklin St Ste 101
Chapel Hill, NC 27514-2820

Mailing address

1504 E Franklin St Ste 101
Chapel Hill, NC 27514-2820
Phone (919) 967-2773

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7773NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Annelise Hardin, DDS, Ms, PA Pediatric Dentistry CurrentSince Oct 13, 2024 Accepting new patients

Locations

410 Market St
Ste 430
Chapel Hill, NC 27516
Phone (919) 355-6367

1504 E Franklin St
Ste 101
Chapel Hill, NC 27514
Phone (919) 967-2773

Organizations & group practices 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1699867283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 E FRANKLIN ST STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142820",
            "telephone_number": "919-967-2773",
            "fax_number": "919-967-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 E FRANKLIN ST STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142820",
            "telephone_number": "919-967-2773",
            "fax_number": "919-967-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "ANNELISE",
        "middle_name": "CECILE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.