Individual provider Active NPI

Alexandra Yarborough Hart, D.D.S.

  • Prosthodontics
  • Chapel Hill, NC
National Provider Identifier
1740598374
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9058 Issued in NC
Practice address
104 N Elliott Rd Ste C
Chapel Hill, NC 27514-5837
Phone
(919) 942-7163
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 9058 NC Primary

Addresses

Primary practice location

104 N Elliott Rd Ste C
Chapel Hill, NC 27514-5837

Mailing address

104 N Elliott Rd Ste C
Chapel Hill, NC 27514-5837
Phone (919) 942-7163

Other practice location 1

Department Of Prosthodontics
338 Brauer Hall, Campus Box #7450
Chapel Hill, NC 27599-7450
Phone (919) 537-3972

Other names 1

  • Alexandra B Yarborough Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229002194 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6204137797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9058NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mandy Ghaffarpour DDS,PLLC PastSince Dec 18, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1740598374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N ELLIOTT RD STE C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145837",
            "telephone_number": "919-942-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N ELLIOTT RD STE C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145837",
            "telephone_number": "919-942-7163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Prosthodontics",
            "address_2": "338 Brauer Hall, Campus Box #7450",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997450",
            "country_code": "US",
            "telephone_number": "919-537-3972",
            "fax_number": "919-537-3977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "ALEXANDRA",
        "middle_name": "YARBOROUGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "9058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "YARBOROUGH",
            "middle_name": "B",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.