Active NPI
Joseph Bradford Hart, D.M.D.
- General Practice Dentistry
- Arlington, MA
National Provider Identifier
1962529263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18975
- Practice address
- 311 Massachusetts Ave
Arlington, MA 02474-8311 - Phone
- (617) 680-0884
- Fax
- (617) 307-4595
- NPI assigned
- Mar 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18975 | MA | |
| Dentist | 122300000X | 047597-1 | NY | |
| General Practice Dentistry | 1223G0001X | 18975 | MA | Primary |
Addresses
Primary practice location
311 Massachusetts Ave
Arlington, MA 02474-8311
Mailing address
311 Massachusetts Ave
Arlington, MA 02474-8311
Phone (617) 680-0884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05886897 | Medicaid | NY |
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 |
|---|---|---|---|
| 18975 | MA | MD | Dentist |
| 047597-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1962529263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MASSACHUSETTS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748311",
"telephone_number": "617-680-0884",
"fax_number": "617-307-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MASSACHUSETTS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748311",
"telephone_number": "617-680-0884",
"fax_number": "617-307-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JOSEPH",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "18975",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "047597-1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "18975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05886897",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.