Michael J Harrison DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

D10529 Issued in MN

Legal business name

MICHAEL J HARRISON DDS PA

Practice address

1421 East Wayzata Blvd
Suite 320
Wayzata, MN 55391-1939

Phone

(952) 475-2907

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Harrison, DDS

Title

President

Phone

(952) 475-2907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043355225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 EAST WAYZATA BLVD",
            "address_2": "SUITE 320",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911939",
            "telephone_number": "952-475-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 EAST WAYZATA BLVD",
            "address_2": "SUITE 320",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911939",
            "telephone_number": "952-475-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J HARRISON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-475-2907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.