Denis A Harlock, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00041814 Issued in WA

Practice address

830 Ball St
Sedro-Woolley, WA 98284-0450

Phone

(360) 855-1411

Fax

(360) 855-1411

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: dharlock210346@direct.peacehealth.org

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1164532941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-855-1411",
            "fax_number": "360-855-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BALL ST",
            "city": "SEDRO-WOOLLEY",
            "state": "WA",
            "postal_code": "982840450",
            "telephone_number": "360-855-1411",
            "fax_number": "360-855-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLOCK",
        "first_name": "DENIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8333734",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Hayward Hancock Sr., LPN
• Amy Hankins, LMP
• Betty Jean Hansen, LPN
• Danica Michelle Hardwick, RD
• Jessica Ann Harlan
• Jennifer Lynn Hatcher
• Lori Hayes
• Ronald Haymaker
• Headwaters Therapy PLLC
• Health First Chiropractic Inc PS

• Family Medicine Physician in Sedro-Woolley, WA
• Providers in Sedro-Woolley, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.