Kelly Harness, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

61023 Issued in KS

Practice address

714 Liberty St
Clay Center, KS 67432-1529

Phone

(785) 632-3126

NPI assigned

Jul 19, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Clay Center Family Dental Care

  • Dentist
  • Clay Center, KS
  • NPI 1093076226
  NPD (past)
• R.D. Hammel, DDS LLC

  • Dentist
  • Clay Center, KS
  • NPI 1508970179
  NPD (past)

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405728000000",
    "number": "1114334307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SWEETGUM CT",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038218",
            "telephone_number": "541-207-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321529",
            "telephone_number": "785-632-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNESS",
        "first_name": "KELLY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-19",
        "last_updated": "2014-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jericho Fief, COTA
• Joshua B Girard, D.C.
• Austin Keith Gydesen, APRN
• Randall R Hafner, D.C.
• Sue Ann Hamon, PHARMD
• Kathryn Ann Heins-Erickson, APRN
• Hiesterman Family Eye Care, LLC
• Ryan Lee Hiesterman, O.D.
• Haley Jordan Hogan
• Stephanie Hope, OTR/L

• Dentist in Clay Center, KS
• Providers in Clay Center, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.