Taryn Kay Harreld, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2901020425 Issued in MI

Practice address

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

Phone

(231) 733-4494

Fax

(231) 733-4662

NPI assigned

Jul 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Credentials

Master of Science

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.

• Taryn K. Harreld, D.D.S., M.S., PC

  • Endodontics
  • Norton Shores, MI
  • NPI 1073917175
  NPD (past) Authorized official

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1093003733",
    "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",
            "fax_number": "231-733-4662"
        },
        {
            "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",
            "fax_number": "231-733-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELD",
        "first_name": "TARYN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901020425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brianna Harris, DPT
• Danijela Hart, PHARMD
• Harvest Home Care Agency LC
• Kristen Haugh, PT
• Danielle Victoria Desimone Hawkins

• Endodontics in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.