Individual provider Active NPI

Amanda Hartman, D.D.S.

  • Dentist
  • New Braunfels, TX
National Provider Identifier
1982833786
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24826 Issued in TX
Practice address
1583 E Common St Ste 202
New Braunfels, TX 78130-3174
Phone
(830) 629-1954
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24826 TX
Dentist 122300000X 24826 TX Primary

Addresses

Primary practice location

1583 E Common St Ste 202
New Braunfels, TX 78130-3174

Mailing address

1583 E Common St Ste 202
New Braunfels, TX 78130-3174
Phone (830) 629-1954

Other practice location 1

9500 S Ih 35
E400
Austin, TX 78748-1752
Phone (512) 282-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419002672 TX Order and Referring Only - DentistPractitioner - Dentist 3577861806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24826TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith and Cole Dentistry PLLC Dentist Past Accepting new patients
Todd Smith DDS PA Dentist Past Accepting new patients

Organizations & group practices 2

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1982833786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 E COMMON ST STE 202",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303174",
            "telephone_number": "830-629-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 E COMMON ST STE 202",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303174",
            "telephone_number": "830-629-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 S Ih 35",
            "address_2": "E400",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787481752",
            "country_code": "US",
            "telephone_number": "512-282-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24826",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.