NPIMap

Organization Active NPI

Taryn K. Harreld, D.D.S., M.S., PC

  • Endodontics
  • Norton Shores, MI
National Provider Identifier
1073917175
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901020425 Issued in MI
Legal business name
TARYN K. HARRELD, D.D.S., M.S., PC
Practice address
3579 Henry St
Suite 120
Norton Shores, MI 49441-6720
Phone
(231) 733-4494
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Dr. Taryn K Harreld, D.D.S., M.S.NPI 1093003733
Title
Owner
Phone
(231) 233-1898

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 2901020425 MI Primary

Addresses

Primary practice location

3579 Henry St
Suite 120
Norton Shores, MI 49441-6720

Mailing address

3579 Henry St
Suite 120
Norton Shores, MI 49441-6720
Phone (231) 733-4494

National Provider Directory

National Provider Directory

Locations

3579 Henry St
Ste 120
Norton Shores, MI 49441
Phone (231) 733-4494

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1073917175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 HENRY ST",
            "address_2": "SUITE 120",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416720",
            "telephone_number": "231-733-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 HENRY ST",
            "address_2": "SUITE 120",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494416720",
            "telephone_number": "231-733-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARYN K. HARRELD, D.D.S., M.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "HARRELD",
        "authorized_official_first_name": "TARYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-233-1898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901020425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.