1447336789 NPI number — DR. DAVID RICHARD HARTMAN DDS

Table of content: DR. DAVID RICHARD HARTMAN DDS (NPI 1447336789)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447336789 NPI number — DR. DAVID RICHARD HARTMAN DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARTMAN
Provider First Name:
DAVID
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARTMAN
Provider Other First Name:
DAVID
Provider Other Middle Name:
R
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1447336789
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5050 CHERRY CREEK SO DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80246
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-758-5811
Provider Business Mailing Address Fax Number:
303-758-3044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5050 CHERRY CREEK SO DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-758-5811
Provider Business Practice Location Address Fax Number:
303-758-3044
Provider Enumeration Date:
10/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  H-D-1-00750 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)