Active NPI
Denis Brian Hart, M.D.
- Dermatology Physician
- Dexter, MI
National Provider Identifier
1891844296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301038336
- Practice address
- 8265 Trail RDG
Dexter, MI 48130-9387 - Phone
- (734) 546-7583
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | DH038336 | MI | |
| Dermatology Physician | 207N00000X | 4301038336 | MI | Primary |
Addresses
Primary practice location
8265 Trail RDG
Dexter, MI 48130-9387
Mailing address
8265 Trail RDG
Dexter, MI 48130-9387
Phone (734) 546-7583
Other practice location 1
3200 W Liberty Rd
Suite F 2
Ann Arbor, MI 48103-9746
Phone (734) 662-7477
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0774600151 | Other | MI | BLUE CROSS BLUE SHIELD |
| 070000253 | Other | MI | MEDICARE RAILROAD |
| 2106573 | Medicaid | MI | |
| 0810015 | Other | MI | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH038336 | MI | MD | Dermatology Physician |
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": "1568246400000",
"number": "1891844296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8265 TRAIL RDG",
"city": "DEXTER",
"state": "MI",
"postal_code": "481309387",
"telephone_number": "734-546-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8265 TRAIL RDG",
"city": "DEXTER",
"state": "MI",
"postal_code": "481309387",
"telephone_number": "734-546-7583"
}
],
"practiceLocations": [
{
"address_1": "3200 W Liberty Rd",
"address_2": "Suite F 2",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481039746",
"country_code": "US",
"telephone_number": "734-662-7477",
"fax_number": "734-662-6077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART",
"first_name": "DENIS",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "DH038336",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301038336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0774600151",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "070000253",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2106573",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0810015",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.