Stephanie June Hardwick, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61216 Issued in CA

Practice address

345 E 24TH St
9W
New York, NY 10010-4020

Phone

(775) 303-2282

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephanie J Hardwick DDS Inc

  dba Mt. Tam Pediatric Dentistry

  • Pediatric Dentistry
  • Corte Madera, CA
  • NPI 1679164339
  NPD Authorized official

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1881969517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 16TH ST",
            "address_2": "3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116058",
            "telephone_number": "775-303-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "address_2": "9W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "775-303-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "STEPHANIE",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Kenyata Hardison
• Tashi Ja'Nea Hardoman-Deer, DSW, LMSW
• Imari R Hardon, MHC-LP
• Kimberly Brooke Hardoon, ANP
• Alison Hardwick
• Tyesha Hardwick, DNP, PMHNP-BC
• Camille Hardy Abeloos
• Emily Hardy, LCAT, ATR-BC
• Lesya Hardy
• Mark Adam Hardy, M.D.

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.