Active NPI
Kelly Cundy Hart, DMD
- Pediatric Dentistry
- Oakland Park, FL
National Provider Identifier
1891285375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN22285
- Practice address
- 3425 N Dixie Hwy
Oakland Park, FL 33334-2839 - Phone
- (954) 376-3676
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN22285 | FL | Primary |
Addresses
Primary practice location
3425 N Dixie Hwy
Oakland Park, FL 33334-2839
Mailing address
3425 N Dixie Hwy
Oakland Park, FL 33334-2839
Phone (954) 376-3676
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 |
|---|---|---|---|
| DN22285 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1891285375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 N DIXIE HWY",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333342839",
"telephone_number": "954-376-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 N DIXIE HWY",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333342839",
"telephone_number": "954-376-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KELLY",
"middle_name": "CUNDY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN22285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.