Active NPI
Brian H Hunt, DMD
- Dentist
- Hartsville, SC
National Provider Identifier
1881743912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3772
- Practice address
- 935 W Home Ave
Hartsville, SC 29550 - Phone
- (843) 332-3781
- Fax
- (843) 332-9701
- NPI assigned
- Jan 9, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3772 | SC | Primary |
Addresses
Primary practice location
935 W Home Ave
Hartsville, SC 29550
Mailing address
PO Box 969
Hartsville, SC 29551
Phone (843) 332-3781
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2A9617 | Medicaid | SC | |
| 2X3772 | Medicaid | SC |
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 |
|---|---|---|---|
| 3772 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartsville Family Dentistry | Dentist | Past | Accepting new patients |
| Hartsville Family Dentistry Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Hartsville, SC
- NPI 1710024427
-
- General Practice Dentistry
- Hartsville, SC
- NPI 1265942544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881743912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "29551",
"telephone_number": "843-332-3781",
"fax_number": "843-332-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 W HOME AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "29550",
"telephone_number": "843-332-3781",
"fax_number": "843-332-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "BRIAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "3772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2A9617",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2X3772",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
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.