Individual provider Active NPI

Allen Dennis Hartman, DDS

  • General Practice Dentistry
  • North Palm Beach, FL
National Provider Identifier
1861526477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4321 Issued in FL
Practice address
521 Northlake Blvd
Suite 5
North Palm Beach, FL 33408-5418
Phone
(561) 848-0666
Fax
(561) 848-0696
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D4321 FL Primary

Addresses

Primary practice location

521 Northlake Blvd
Suite 5
North Palm Beach, FL 33408-5418

Mailing address

521 Northlake Blvd
Suite 5
North Palm Beach, FL 33408-5418
Phone (561) 848-0666

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
D4321FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861526477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 NORTHLAKE BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085418",
            "telephone_number": "561-848-0666",
            "fax_number": "561-848-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 NORTHLAKE BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085418",
            "telephone_number": "561-848-0666",
            "fax_number": "561-848-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ALLEN",
        "middle_name": "DENNIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "D4321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

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.

Verify at the official NPI Registry.