Organization Active NPI

Mark H. Harvey, D.M.D., PSC

  • Dental Clinic/Center
  • Elizabethtown, KY
National Provider Identifier
1003954629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5354 Issued in KY
Legal business name
MARK H. HARVEY, D.M.D., PSC
Practice address
1602 Lakewood Dr
Elizabethtown, KY 42701-5458
Phone
(270) 737-3368
NPI assigned
Feb 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark H Harvey, DMD
Title
President
Phone
(270) 737-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5354 KY Primary

Addresses

Primary practice location

1602 Lakewood Dr
Elizabethtown, KY 42701-5458

Mailing address

1602 Lakewood Dr
Elizabethtown, KY 42701-5458
Phone (270) 737-3368

National Provider Directory

National Provider Directory

Locations

1602 Lakewood Dr
Elizabethtown, KY 42701
Phone (270) 737-3368

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003954629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 LAKEWOOD DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015458",
            "telephone_number": "270-737-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 LAKEWOOD DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015458",
            "telephone_number": "270-737-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. HARVEY, D.M.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-737-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "5354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

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.

Verify at the official NPI Registry.