Douglas Eugene Harshberger, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

014864 Issued in MO

Practice address

19301 E US Highway 40
Suite a
Independence, MO 64055-5446

Phone

(816) 886-5899

Fax

(816) 886-5934

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Practice roles

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

• Columbia Surgical Prosthodontics LLC

  • Dental Clinic/Center
  • Columbia, MO
  • NPI 1629896758
  NPD (past)
• Esthetic Dental Implants Studio LLC

  • Dentist
  • Independence, MO
  • NPI 1851135875
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1053490565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 E. US 40 HIGHWAY",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-886-5899",
            "fax_number": "816-886-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 E US HIGHWAY 40",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555446",
            "telephone_number": "816-886-5899",
            "fax_number": "816-886-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSHBERGER",
        "first_name": "DOUGLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014864",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MO",
            "license": "014864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weldon Harris, M.D.
• Shannon Harrison, M.S., CCC-SLP
• Harry S Truman Childrens Neurological Center
• Harry S Truman Childrens Neurological Center
• Harry S. Truman Childrens Neurological Center
• Hart Chiropractic, LLC
• Michelle Hart
• Olivia Hartman
• Quentin Hartman
• Charles F. Harvey, MD

• Prosthodontics in Independence, MO
• Providers in Independence, MO by specialty
• Prosthodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.