Active NPI
Katherine A Harrell
- Dentist
- Tucson, AZ
National Provider Identifier
1053729798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8973
- Practice address
- 1802 E Prince Rd
Tucson, AZ 85719-1965 - Phone
- (520) 323-3186
- Fax
- (520) 323-6544
- NPI assigned
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8973 | AZ | Primary |
Addresses
Primary practice location
1802 E Prince Rd
Tucson, AZ 85719-1965
Mailing address
1802 E Prince Rd
Tucson, AZ 85719-1965
Phone (520) 323-3186
Other practice location 1
1288 W Orange Grove Rd
Tucson, AZ 85704-2951
Phone (520) 502-6204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8973 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBD III, PLLC | Past | Accepting new patients | |
| Katherine a. Harrell, DMD | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Tucson, AZ
- NPI 1851705776
-
- Dental Clinic/Center
- Tucson, AZ
- NPI 1285104877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1053729798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 E PRINCE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857191965",
"telephone_number": "520-323-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 E PRINCE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857191965",
"telephone_number": "520-323-3186",
"fax_number": "520-323-6544"
}
],
"practiceLocations": [
{
"address_1": "1288 W Orange Grove Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857042951",
"country_code": "US",
"telephone_number": "520-502-6204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRELL",
"first_name": "KATHERINE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-25",
"last_updated": "2023-09-13",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "8973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.