NPIMap

Organization Active NPI

Hart Family Dental

  • General Practice Dentistry
  • Yucca Valley, CA
National Provider Identifier
1780910604
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30554 Issued in CA
Legal business name
HART FAMILY DENTAL
Practice address
56728 29 Palms Hwy
Yucca Valley, CA 92284-2941
Phone
(760) 365-6595
NPI assigned
Oct 28, 2009
Organization subpart
Yes
Parent organization
HART FAMILY DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Cici M Manthey
Title
Office Manager
Phone
(760) 329-6713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 30554 CA Primary

Addresses

Primary practice location

56728 29 Palms Hwy
Yucca Valley, CA 92284-2941

Mailing address

56728 29 Palms Hwy
Yucca Valley, CA 92284-2941
Phone (760) 365-6595

National Provider Directory

National Provider Directory
Tax ID family
Hart Family Dental3 organizations share this tax ID, including this one
Part of
Hart Family Dental

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

56728 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 365-6595

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1780910604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56728 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842941",
            "telephone_number": "760-365-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56728 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842941",
            "telephone_number": "760-365-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HART FAMILY DENTAL",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "MANTHEY",
        "authorized_official_first_name": "CICI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-329-6713"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.