Individual provider Active NPI

Douglas F Harvel, Jr, DMD

  • General Practice Dentistry
  • Forest, MS
National Provider Identifier
1225189244
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3040 Issued in MS
Practice address
1040 Highway 35 S
Forest, MS 39074
Phone
(601) 469-3851
Fax
(601) 469-4356
NPI assigned
Jan 16, 2007
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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 3040 MS Primary

Addresses

Primary practice location

1040 Highway 35 S
Forest, MS 39074

Mailing address

1040 Highway 35 South
Forest, MS 39074
Phone (601) 469-3851

Other identifiers 1

IdentifierTypeStateIssuer
00660246MedicaidMS

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
3040MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John B. Smith, Jr. DMD, PA General Practice Past Accepting new patients
Forest Dental Practice PLLC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: douglas.harvel@fhcc.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1225189244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 HIGHWAY 35 SOUTH",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "39074",
            "telephone_number": "601-469-3851",
            "fax_number": "601-469-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "39074",
            "telephone_number": "601-469-3851",
            "fax_number": "601-469-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEL, JR",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660246",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.