Active NPI
Hart Dental Associates, LLC
- Dentist
- Leipsic, OH
National Provider Identifier
1992731350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30016070
- Legal business name
- HART DENTAL ASSOCIATES, LLC
- Practice address
- 15 E Main St
Leipsic, OH 45856-1243 - Phone
- (419) 943-2278
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory A. Hart, DDS
- Title
- Manager
- Phone
- (419) 943-2278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30016070 | OH | Primary |
Addresses
Primary practice location
15 E Main St
Leipsic, OH 45856-1243
Mailing address
15 E Main St
Leipsic, OH 45856-1243
Phone (419) 943-2278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2473167 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Hart Dental Associates LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Port Clinton, OH
- NPI 1104061597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992731350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E MAIN ST",
"city": "LEIPSIC",
"state": "OH",
"postal_code": "458561243",
"telephone_number": "419-943-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E MAIN ST",
"city": "LEIPSIC",
"state": "OH",
"postal_code": "458561243",
"telephone_number": "419-943-2278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HART DENTAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "419-943-2278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OH",
"license": "30016070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2473167",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leipsic, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.