Active NPI
Betty Harmon, MD
- Pediatrics Physician
- Moore, OK
National Provider Identifier
1124017934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17592
- Practice address
- 1200 Magnolia CT St 102
Ste 102
Moore, OK 73160 - Phone
- (405) 912-3100
- Fax
- (405) 912-3104
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17592 | OK | Primary |
Addresses
Primary practice location
1200 Magnolia CT St 102
Ste 102
Moore, OK 73160
Mailing address
1200 Magnolia CT St 102
Ste 102
Moore, OK 73160
Phone (405) 650-5470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100096480A | Medicaid | OK |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17592 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Sunrise Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GAEIDD/Endpoint/GAEIDD
- https://fhir4.healow.com/fhir/r4/GAEIDD
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
-
- Pediatrics Physician
- Moore, OK
- NPI 1871483883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1124017934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MAGNOLIA CT ST 102",
"address_2": "STE 102",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-650-5470",
"fax_number": "405-261-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MAGNOLIA CT ST 102",
"address_2": "STE 102",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-912-3100",
"fax_number": "405-912-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "BETTY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "17592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100096480A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.