Individual provider Active NPI

Bryan Frederick Harju, D.M.D.

  • General Practice Dentistry
  • Troy, OH
National Provider Identifier
1013086016
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21429 Issued in OH
Practice address
1845 Towne Park Dr
Troy, OH 45373-8316
Phone
(937) 339-5782
Fax
(937) 339-7690
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21429 OH Primary

Addresses

Primary practice location

1845 Towne Park Dr
Troy, OH 45373-8316

Mailing address

1845 Towne Park Dr
Troy, OH 45373-8316
Phone (937) 339-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21429OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1013086016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 TOWNE PARK DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738316",
            "telephone_number": "937-339-5782",
            "fax_number": "937-339-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 TOWNE PARK DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738316",
            "telephone_number": "937-339-5782",
            "fax_number": "937-339-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARJU",
        "first_name": "BRYAN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.