Individual provider Active NPI

Michael Damgaard, (DMD, MS)

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1174084867
Registry record updated Jan 12, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042071 Issued in PA
Practice address
4940 Linglestown Rd
Harrisburg, PA 17112-9178
Phone
(717) 901-7045
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042071 PA Primary

Addresses

Primary practice location

4940 Linglestown Rd
Harrisburg, PA 17112-9178

Mailing address

714 River Rd
Dauphin, PA 17018-9757

Other practice location 1

2110 Quail Hollow Dr
Mechanicsburg, PA 17055-6080
Phone (717) 979-8676

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS042071PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CDG Harrisburg LLC General Practice CurrentSince Mar 1, 2025 Accepting new patients
Colonial Dental Group PC General Practice PastSince Jan 19, 2020 Accepting new patients

Locations

4940 Linglestown Rd
Harrisburg, PA 17112
Phone (717) 901-7045

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1174084867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 RIVER RD",
            "city": "DAUPHIN",
            "state": "PA",
            "postal_code": "170189757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129178",
            "telephone_number": "717-901-7045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Quail Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170556080",
            "country_code": "US",
            "telephone_number": "717-979-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMGAARD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "(DMD, MS)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.