Gerald Wayne Hargis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4646 Issued in NC

Practice address

294 E Davis St
Burlington, NC 27215-5819

Phone

(336) 226-8069

Fax

(336) 226-9100

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 and National Provider Directory roles.

• Gerald W. Hargis DDS PA

  • General Practice Dentistry
  • Burlington, NC
  • NPI 1477729630
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992824981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 E DAVIS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155819",
            "telephone_number": "336-226-8069",
            "fax_number": "336-226-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 E DAVIS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155819",
            "telephone_number": "336-226-8069",
            "fax_number": "336-226-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "GERALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993553",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyoung Soo Han, DDS
• William Franklin Hancock Jr., M.D.
• Vishwanath Hande, MD
• Hanger Prosthetics & Orthotics East, Inc.
• Leslie Marie Hargis-Fuller, DDS
• Brittany Hargrove
• Kristen Harper, PA-C
• Larry O. Harper, M.D.
• Sheryl Harper, P-LCSW
• Stephanie Harper

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.