Active NPI
David Hardman Harley, M.D.
- Plastic and Reconstructive Surgery Physician
- Huntersville, NC
National Provider Identifier
1215144670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Practice address
- 13620 Reese Blvd E
Suite 110, BLDG XII
Huntersville, NC 28078-6417 - Phone
- (704) 840-9151
- NPI assigned
- May 16, 2007
- Last updated
- Sep 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | NC | Primary |
Addresses
Primary practice location
13620 Reese Blvd E
Suite 110, BLDG XII
Huntersville, NC 28078-6417
Mailing address
7306 Swansea LN
Cornelius, NC 28031-8696
Phone (704) 840-9151
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-00100 | NC | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Charlotte Plastic 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Huntersville, NC
- NPI 1871781781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1215144670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7306 SWANSEA LN",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318696",
"telephone_number": "704-840-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 REESE BLVD E",
"address_2": "SUITE 110, BLDG XII",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786417",
"telephone_number": "704-840-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "DAVID",
"middle_name": "HARDMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.