NPIMap

Organization Active NPI

Jeffrey J Harrie DDS PC

  • Dentist
  • Fargo, ND
National Provider Identifier
1184154692
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2308 Issued in ND
Legal business name
JEFFREY J HARRIE DDS PC
Practice address
3525 25TH St S
Fargo, ND 58104-5900
Phone
(701) 298-9400
Fax
(701) 298-7783
NPI assigned
Jun 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeffrey James Harrie, DDSNPI 1326576828
Title
Owner
Phone
(701) 388-8979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2308 ND Primary

Addresses

Primary practice location

3525 25TH St S
Fargo, ND 58104-5900

Mailing address

3525 25TH St S
Fargo, ND 58104-5900
Phone (701) 298-9400

Other names 1

  • Designer Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

3525 25th St S
Fargo, ND 58104
Phone (701) 298-9400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184154692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045900",
            "telephone_number": "701-298-9400",
            "fax_number": "701-298-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045900",
            "telephone_number": "701-298-9400",
            "fax_number": "701-298-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J HARRIE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRIE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-388-8979",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Designer Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.