Individual provider Active NPI

David M. Harvey, D.D.S

  • General Practice Dentistry
  • Hillsville, VA
National Provider Identifier
1194813667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6148 Issued in VA
Practice address
130 Court St.
Hillsville, VA 24343-6958
Phone
(276) 728-9611
Fax
(276) 728-9591
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6148 VA Primary

Addresses

Primary practice location

130 Court St.
Hillsville, VA 24343-6958

Mailing address

PO Box 1958
130 Court Street
Hillsville, VA 24343-6958
Phone (276) 728-9611

Other identifiers 1

IdentifierTypeStateIssuer
9181263MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150518002080 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476873233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6148VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194813667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1958",
            "address_2": "130 COURT STREET",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243436958",
            "telephone_number": "276-728-9611",
            "fax_number": "276-728-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COURT ST.",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243436958",
            "telephone_number": "276-728-9611",
            "fax_number": "276-728-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9181263",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

Verify at the official NPI Registry.