Individual provider Active NPI

John Vincent Linhart, DMD

  • Dentist
  • Teec Nos Pos, AZ
National Provider Identifier
1831186212
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5035476 Issued in PA
Practice address
US Hwy 160 & Navajo Route 35 - Red Mesa
Teecnospos, AZ 86514
Phone
(928) 656-5000
Fax
(505) 368-6431
NPI assigned
Sep 30, 2005
Last updated
May 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D5035476 PA Primary

Addresses

Primary practice location

US Hwy 160 & Navajo Route 35 - Red Mesa
Teecnospos, AZ 86514

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6401

Other identifiers 3

IdentifierTypeStateIssuer
734956MedicaidAZ
70981027MedicaidCO
76438236MedicaidNM

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

LicenseStateTypeSpecialty
D5035476PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1831186212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-368-6401",
            "fax_number": "505-368-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 160 & NAVAJO ROUTE 35 - RED MESA",
            "city": "TEECNOSPOS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5000",
            "fax_number": "505-368-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINHART",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "D5035476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734956",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70981027",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76438236",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teec Nos Pos, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.