James David Hart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3527 Issued in SC

Practice address

1204 Palm Blvd
Suite a
Isle of Palms, SC 29451-2297

Phone

(843) 886-3836

Fax

(843) 886-5514

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881618247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 PALM BLVD",
            "address_2": "SUITE A",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512297",
            "telephone_number": "843-886-3836",
            "fax_number": "843-886-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 PALM BLVD",
            "address_2": "SUITE A",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512297",
            "telephone_number": "843-886-3836",
            "fax_number": "843-886-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9665",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental Health Group LLC
• Matthew Karl Feltman, RPH
• Joseph Gandy, PHARM.D.
• Taylor Gee
• Joel Robert Graziano I, M.D.
• Franklin Bannon Hines III, DMD
• James Koren, MD
• Julia Lewandowski, M.D.
• Kathleen Ruth Malaney, MD
• Pamela Marsh, P T

• General Practice Dentistry in Isle of Palms, SC
• Providers in Isle of Palms, SC by specialty
• General Practice Dentistry in South Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.