Dan R Hartwig, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2011016746 Issued in MO

Practice address

3608 Jeffco Blvd
Arnold, MO 63010-3920

Phone

(636) 464-1008

Fax

(636) 464-1217

NPI assigned

Jun 22, 2011

Last updated

Jun 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Missouri Dental Professionals, Richard Straus, DMD, PC

  dba Family Dentistry of Arnold

  • General Practice Dentistry
  • Arnold, MO
  • NPI 1720208044
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1992091581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103920",
            "telephone_number": "636-464-1008",
            "fax_number": "636-464-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103920",
            "telephone_number": "636-464-1008",
            "fax_number": "636-464-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "DAN",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011016746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Elizabeth Hanson, M.S., CCC-SLP
• Cara Elise Hargate, SLP
• Stephanie Harrigan, OTD, OTR/L
• Erin Nicole Harris, CCC-SLP
• Mona L. Harris, COTA/L
• Tracy M Hasler, NP
• Amy L. Hayden
• John Louis Heafner, MD
• Laura Healy, RDH, PHDH
• Madison Heaman

• Dentist in Arnold, MO
• Providers in Arnold, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.