Organization Active NPI

Bradley R. Harmon, DDS, PLC

  • Dental Clinic/Center
  • Louisville, KY
National Provider Identifier
1033309489
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8305 Issued in KY
Legal business name
BRADLEY R. HARMON, DDS, PLC
Practice address
2501 Bush Ridge Drive
Louisville, KY 40245
Phone
(614) 352-3050
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Bradley R. Harmon, D.D.S.NPI 1558575985
Title
Manager
Phone
(614) 352-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8305 KY Primary

Addresses

Primary practice location

2501 Bush Ridge Drive
Louisville, KY 40245

Mailing address

2501 Bush Ridge Drive
Louisville, KY 40245
Phone (614) 352-3050

Other names 1

  • Harmon Dental Center at Lake Forest Doing business as

National Provider Directory

National Provider Directory

Locations

2501 Bush Ridge Dr
Louisville, KY 40245
Phone (502) 245-3602

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1033309489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BUSH RIDGE DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40245",
            "telephone_number": "614-352-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BUSH RIDGE DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40245",
            "telephone_number": "614-352-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY R. HARMON, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-352-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "8305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmon Dental Center at Lake Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.