DAVID RANDALL HARTMAN JR. DDS
NPI 1487916391
Dentist - General Practice in Memphis, TN

Q: What is David Hartman's NPI number?

The NPI number for David Hartman is 1487916391. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Q: What is David Hartman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for David Hartman was last updated on September 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2012PECOS Enrolled

3362 S 3RD ST, MEMPHIS, TN 38109(901) 271-6671(901) 271-6370 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About David Randall Hartman Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID RANDALL HARTMAN JR. DDS (NPI 1487916391) is an individual general practice provider in Memphis, Tennessee, licensed in Tennessee (9478) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487916391

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDAVID RANDALL HARTMAN JR.Credential: DDS

Location Address3362 S 3RD STMemphis, TN 38109-2944

Mailing Address2595 Central AveMemphis, TN 38104-5905 · (901) 260-8551 · Fax (901) 260-8590

Phone(901) 271-6671

Fax(901) 271-6370

Sole ProprietorNo

Enumeration DateJune 15, 2012

Last NPPES UpdateSeptember 27, 2013

✔ NPI 1487916391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 9478

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3362 S 3RD ST, Memphis, TN 38109

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Other Identifiers 1

Medicaid1528366TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Randall Hartman Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA ALLEN NP

Nurse Practitioner (Family)