Individual provider Active NPI

Brian Thomas Harrison, DDS

  • General Practice Dentistry
  • Lakeville, MN
National Provider Identifier
1194502427
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14972 Issued in MN
Practice address
20785 Holyoke Ave
Lakeville, MN 55044-9825
Phone
(952) 469-5213
NPI assigned
Sep 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 D14972 MN Primary

Addresses

Primary practice location

20785 Holyoke Ave
Lakeville, MN 55044-9825

Mailing address

20785 Holyoke Ave
Lakeville, MN 55044-9825
Phone (952) 469-5213

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

State licenses

LicenseStateTypeSpecialty
D14972MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Dental PLLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

20785 Holyoke Ave
Lakeville, MN 55044
Phone (952) 469-5213

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1194502427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20785 HOLYOKE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449825",
            "telephone_number": "952-469-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20785 HOLYOKE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449825",
            "telephone_number": "952-469-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.