Individual provider Active NPI

James Michael Harlan, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Oklahoma City, OK
National Provider Identifier
1174878417
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
6913 Issued in OK
Practice address
8101 S Walker Ave Ste E
Oklahoma City, OK 73139-9406
Phone
(405) 632-9726
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9501 TN
Dentist 122300000X 9298 KY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 210 OK
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 9298 KY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 37911 OK
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 6913 OK Primary

Addresses

Primary practice location

8101 S Walker Ave Ste E
Oklahoma City, OK 73139-9406

Mailing address

8101 S Walker Ave Ste E
Oklahoma City, OK 73139-9406
Phone (405) 632-9726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 30, 2019 through Aug 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9501TNMDSocial Worker
9298KYMDOral & Maxillofacial Surgery (D.M.D.)
37911OKMDOral & Maxillofacial Surgery (D.M.D.)
210OKMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jay a. Harlan, D.D.S., Inc. Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1174878417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 S WALKER AVE STE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399406",
            "telephone_number": "405-632-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 S WALKER AVE STE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399406",
            "telephone_number": "405-632-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9501",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9298",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "210",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "9298",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OK",
            "license": "37911",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OK",
            "license": "6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.