Active NPI
Gregory Thomas Hardman, D.D.S.
- General Practice Dentistry
- Bethany, OK
National Provider Identifier
1821151374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4030
- Practice address
- 7900 NW 23Rd St
Suite 9
Bethany, OK 73008-4961 - Phone
- (405) 789-4370
- Fax
- (405) 789-4091
- NPI assigned
- Dec 18, 2006
- 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 | 4030 | OK | Primary |
Addresses
Primary practice location
7900 NW 23Rd St
Suite 9
Bethany, OK 73008-4961
Mailing address
6521 Eastbourne LN
Oklahoma City, OK 73132-2006
Phone (405) 722-3570
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 |
|---|---|---|---|
| 4030 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821151374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6521 EASTBOURNE LN",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731322006",
"telephone_number": "405-722-3570",
"fax_number": "405-789-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 NW 23RD ST",
"address_2": "SUITE 9",
"city": "BETHANY",
"state": "OK",
"postal_code": "730084961",
"telephone_number": "405-789-4370",
"fax_number": "405-789-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDMAN",
"first_name": "GREGORY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethany, OK
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.