Individual provider Active NPI

Joy Lynn Harr, D.D.S.

  • Dentist
  • Wheeling, WV
National Provider Identifier
1164401915
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3890 Issued in WV
Practice address
1C Elm Grove Crossing Mall
Wheeling, WV 26003-5300
Phone
(304) 242-9600
Fax
(304) 242-9631
NPI assigned
Jan 11, 2006
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3890 WV Primary
General Practice Dentistry 1223G0001X OH21972 OH

Addresses

Primary practice location

1C Elm Grove Crossing Mall
Wheeling, WV 26003-5300

Mailing address

1C Elm Grove Crossing Mall
Wheeling, WV 26003-5300
Phone (304) 242-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150408000996 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173841939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH21972OHMDGeneral Practice Dentistry
3890WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1164401915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1C ELM GROVE CROSSING MALL",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035300",
            "telephone_number": "304-242-9600",
            "fax_number": "304-242-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1C ELM GROVE CROSSING MALL",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035300",
            "telephone_number": "304-242-9600",
            "fax_number": "304-242-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARR",
        "first_name": "JOY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3890",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "OH21972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.