Active NPI
Gregory A. Hart, DDS
- General Practice Dentistry
- Port Clinton, OH
National Provider Identifier
1801000641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30016070
- Practice address
- 3274 NE Catawba Rd
Port Clinton, OH 43452-9803 - Phone
- (419) 797-2010
- Fax
- (419) 797-2826
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 30016070 | OH | Primary |
Addresses
Primary practice location
3274 NE Catawba Rd
Port Clinton, OH 43452-9803
Mailing address
3274 NE Catawba Rd
Port Clinton, OH 43452-9803
Phone (419) 797-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0395086 | Medicaid | OH |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30016070 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Dental | Past | 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.
-
- Dentist
- Port Clinton, OH
- NPI 1104061597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1801000641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3274 NE CATAWBA RD",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434529803",
"telephone_number": "419-797-2010",
"fax_number": "419-797-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3274 NE CATAWBA RD",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434529803",
"telephone_number": "419-797-2010",
"fax_number": "419-797-2826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "GREGORY",
"middle_name": "A.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30016070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0395086",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.