Individual provider Active NPI

James Kevin Harper, DDS

  • Dentist
  • Clarksville, IN
National Provider Identifier
1013162668
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12008699A Issued in IN
Practice address
639 Eastern Blvd
Ste B
Clarksville, IN 47129-2460
Phone
(812) 282-1773
Fax
(812) 282-1791
NPI assigned
Nov 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12008699A IN Primary

Addresses

Primary practice location

639 Eastern Blvd
Ste B
Clarksville, IN 47129-2460

Mailing address

639 Eastern Blvd
Ste B
Clarksville, IN 47129-2460
Phone (812) 282-1773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20160701001332 IN Order and Referring Only - DentistPractitioner - Dentist 1153613682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008699AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Dental Care Clarksville Past Accepting new patients
Beechwood Dental Center, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1013162668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 EASTERN BLVD",
            "address_2": "STE B",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292460",
            "telephone_number": "812-282-1773",
            "fax_number": "812-282-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 EASTERN BLVD",
            "address_2": "STE B",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292460",
            "telephone_number": "812-282-1773",
            "fax_number": "812-282-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008699A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.