Individual provider Active NPI

Lee Hartzler, D.D.S.

  • General Practice Dentistry
  • Wooster, OH
National Provider Identifier
1922410810
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-024183 Issued in OH
Practice address
567 N Market St
Wooster, OH 44691-3400
Phone
(330) 262-0206
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-024183 OH Primary

Addresses

Primary practice location

567 N Market St
Wooster, OH 44691-3400

Mailing address

567 N Market St
Wooster, OH 44691-3400
Phone (330) 262-0206

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

LicenseStateTypeSpecialty
30-024183OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel S Zupsansky DDS, Lee T Hartzler DDS, & Tyler a Overmyer DDS Inc General Practice CurrentSince Mar 1, 2021 Accepting new patients

Locations

567 N Market St
Wooster, OH 44691
Phone (330) 262-0206

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1922410810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 N MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913400",
            "telephone_number": "330-262-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913400",
            "telephone_number": "330-262-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZLER",
        "first_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-024183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.