Individual provider Active NPI

Kel-Lee Star Harling, DDS

  • Dentist
  • Florence, AZ
National Provider Identifier
1104089549
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008157 Issued in AZ
Practice address
4374 E Butte Ave
Florence, AZ 85132
Phone
(520) 868-0201
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008157 AZ Primary

Addresses

Primary practice location

4374 E Butte Ave
Florence, AZ 85132

Mailing address

21301 E Russet Rd
Queen Creek, AZ 85142-5496

Other names 1

  • Kel-Lee Star Hammel Former name

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

LicenseStateTypeSpecialty
D008157AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1104089549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 E RUSSET RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 E BUTTE AVE",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132",
            "telephone_number": "520-868-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLING",
        "first_name": "KEL-LEE",
        "middle_name": "STAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEL-LEE",
            "last_name": "HAMMEL",
            "middle_name": "STAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.