Harrison Dental, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12011411A Issued in IN

Legal business name

HARRISON DENTAL, LLC

Doing business as

Harrison Dental

Practice address

225 S Harrison St
Shelbyville, IN 46176-2159

Phone

(317) 398-0066

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Jean Tungate

Title

Office Manager

Phone

(317) 398-0066

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Harrison Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrin Ray Combs, DMD

  • Periodontics
  • Zionsville, IN
  • NPI 1376687509

  General Practice

  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1023432200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S HARRISON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762159",
            "telephone_number": "317-398-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S HARRISON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762159",
            "telephone_number": "317-398-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-398-0066"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009085A",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12011411A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "12011411A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1487775144",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1376687509",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "12009085A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hancock Regional Hospital
• David Edward Hansen, LCSW
• Timothy A Hardwick
• Lindsay Catherine Harless, LMHC
• Victoria A Harris, LCSW, LCAC, MSW
• Cheryl Renee Hartman, D.D.S
• Erika L Hartman, APRN, ACNPC-AG
• Jessica Haviland
• Haley Healy, LSW
• Heartland Radiation Oncology, Inc

• Periodontics in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.