Organization Active NPI

Douglas E. Harshberger, DDS, PC

  • Prosthodontics
  • Raytown, MO
National Provider Identifier
1154569762
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
014864 Issued in MO
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

Updated by the provider on Feb 4, 2009

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 014864 MO
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.