NPIMap

Organization Active NPI

Harelick Dental Associates, LLC

  • General Practice Dentistry
  • Fairhaven, MA
National Provider Identifier
1053638122
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12334 Issued in MA
Legal business name
HARELICK DENTAL ASSOCIATES, LLC
Practice address
278 Alden Rd
Fairhaven, MA 02719-4430
Phone
(508) 993-0515
Fax
(508) 993-0100
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Dr. Robert Harelick, D.M.D.NPI 1245353663
Title
Sole Member
Phone
(508) 993-0515

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN12334 MA Primary

Addresses

Primary practice location

278 Alden Rd
Fairhaven, MA 02719-4430

Mailing address

278 Alden Rd
Fairhaven, MA 02719-4430
Phone (508) 993-0515

National Provider Directory

National Provider Directory

Locations

278 Alden Rd
Fairhaven, MA 02719
Phone (508) 993-0515

Practitioners & affiliated clinicians

Practitioners 4

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": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1053638122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194430",
            "telephone_number": "508-993-0515",
            "fax_number": "508-993-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 ALDEN RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194430",
            "telephone_number": "508-993-0515",
            "fax_number": "508-993-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARELICK DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "HARELICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "508-993-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN12334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.