Thaddeus Harvey Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013689 Issued in GA

Practice address

331 Arcado Rd NW
Lilburn, GA 30047-2814

Phone

(770) 923-1814

NPI assigned

Jul 8, 2008

Last updated

Jul 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Thaddeus Harvey II Other name

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1023271186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ARCADO RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472814",
            "telephone_number": "770-923-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ARCADO RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472814",
            "telephone_number": "770-923-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "THADDEUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THADDEUS",
            "last_name": "HARVEY",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tamara Marie Harris, PA-C
• Justin Harrison
• Harvey J. Schecter, D.O., P.C. Dba Total Care
• Theresa Lynn Harvey-Gilliard, RN
• Aeryka Miche'Le Harvey, MPH, OMS4, CD
• Aimon Hazari, OD
• Melodie Anne (Or Desanto) Head
• Hear Better Holdings of Gwinnett (Audiology Associates of GA)
• Glenn Craig Heigerick, DO
• Rebecca Campbell Henderson, MSN, FNP-C

• General Practice Dentistry in Lilburn, GA
• Providers in Lilburn, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.