Active NPI
Douglas E. Harshberger, DDS, PC
- Prosthodontics
- Raytown, MO
National Provider Identifier
1154569762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 014864
- Legal business name
- DOUGLAS E. HARSHBERGER, DDS, PC
- Practice address
- 5236 Blue Ridge Blvd
Raytown, MO 64133-3061 - Phone
- (816) 356-6020
- Fax
- (816) 356-1606
- NPI assigned
- Feb 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Eugene Harshberger, DDS
- Title
- PC
- Phone
- (816) 356-6020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 014864 | MO | |
| Prosthodontics | 1223P0700X | 014864 | MO | Primary |
Addresses
Primary practice location
5236 Blue Ridge Blvd
Raytown, MO 64133-3061
Mailing address
5236 Blue Ridge Blvd
Raytown, MO 64133-3061
Phone (816) 356-6020
National Provider Directory
National Provider DirectoryLocations
5236 Blue Ridge Blvd
Raytown, MO 64133
Phone (816) 356-6020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1154569762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5236 BLUE RIDGE BLVD",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641333061",
"telephone_number": "816-356-6020",
"fax_number": "816-356-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5236 BLUE RIDGE BLVD",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641333061",
"telephone_number": "816-356-6020",
"fax_number": "816-356-1606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS E. HARSHBERGER, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "HARSHBERGER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PC",
"authorized_official_telephone_number": "816-356-6020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "014864",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "MO",
"license": "014864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.