Jared Michael Harvey, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

33409 Issued in TX

Practice address

650 Beebalm LN Ste 265
Garland, TX 75040-2955

Phone

(972) 272-6543

NPI assigned

Jul 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Firewheel Periodontal 4 Implant Specialist, PLLC

  • General Practice Dentistry
  • Garland, TX
  • NPI 1215862560

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1235653320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 BEEBALM LN STE 265",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402955",
            "telephone_number": "972-272-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BEEBALM LN STE 265",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402955",
            "telephone_number": "972-272-6543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Medical District Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "214-456-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "33409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Dianne Harrison, PT
• Brooke Hart, A-SLP
• Sandra Hart
• Rachel A. Hartman, M.D.
• John Robert Hartono, MD
• Saira M Hassan, MD
• Richard Shad Hattaway, D.D.S.
• Haven Innerhealing Ministries
• Ziad Rafic Haydar
• Kaylan A Hayes

• Periodontics in Garland, TX
• Providers in Garland, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.