Patrice Jones Harmon, D.M.D, MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401413536 Issued in VA

Practice address

2425 Boulevard Ste 8
Colonial Heights, VA 23834-2324

Phone

(804) 520-0000

Fax

(804) 520-2111

NPI assigned

Jun 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Southside Endodontics, PC

  • Endodontics
  • Colonial Heights, VA
  • NPI 1053494260
  NPD (past)

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1255627428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BOULEVARD STE 8",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342324",
            "telephone_number": "804-520-0000",
            "fax_number": "804-520-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BOULEVARD STE 8",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342324",
            "telephone_number": "804-520-0000",
            "fax_number": "804-520-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701192715",
            "country_code": "US",
            "telephone_number": "228-697-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMON",
        "first_name": "PATRICE",
        "middle_name": "JONES",
        "credential": "D.M.D, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3586-11",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413536",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401413536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Haase
• Audra L Hainer, PHARM.D.
• Shaun Hairston, DC
• Bernadette Wiley Hall, PT
• Jennifer Lindsey Harless, OTR, CHT
• Jordan Driskill Harris, CCC-SLP
• Michele Harris, ED.S
• Jennifer Hartman, LCSW
• Megan Sinclair Harvey, FNP-C
• Health & Home Caregivers LLC

• Endodontics in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.