Active NPI
Kevin Michael Hart, D.D.S.
- General Practice Dentistry
- Tiffin, IA
National Provider Identifier
1730297904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08369
- Practice address
- 113 W Marengo Rd
Tiffin, IA 52340-9212 - Phone
- (319) 545-7630
- Fax
- (319) 545-7749
- NPI assigned
- Aug 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08369 | IA | Primary |
Addresses
Primary practice location
113 W Marengo Rd
Tiffin, IA 52340-9212
Mailing address
1922 Plaen View Dr
Iowa City, IA 52246-4437
Phone (319) 936-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465088 | Medicaid | ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08369 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hart Family Dentistry PC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Tiffin, IA
- NPI 1669283057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730297904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 PLAEN VIEW DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464437",
"telephone_number": "319-936-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W MARENGO RD",
"city": "TIFFIN",
"state": "IA",
"postal_code": "523409212",
"telephone_number": "319-545-7630",
"fax_number": "319-545-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0465088",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.