Clare Harrison, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601255 Issued in MI

Practice address

6780 W Q Ave
Kalamazoo, MI 49009-3961

Phone

(269) 372-2400

NPI assigned

Jun 29, 2017

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mattawan Dental, PLC, Dba Texas Corners Dental

  • Dental Clinic/Center
  • Kalamazoo, MI
  • NPI 1639807993
  NPD
• Mattawan Dental, PLC, Dba Texas Corners Dental

  • Dental Clinic/Center
  • Kalamazoo, MI
  • NPI 1720707300
  NPD

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1285155184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 W Q AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 W Q AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093961",
            "telephone_number": "269-372-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CLARE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031247",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nequanja Harris
• Nicolas James Harris, PA-C
• Taylor Jasmine-Alicia Harris, LLMSW
• Brian Daniel Harrison, LLMSW
• Cassandra Ann Harrison
• Elizabeth Harrison
• Jennifer Ellen Harrison, PHD, LMSW
• Katherine Harrison, OTR/L
• Rachel Alise Harrison
• Kayla Harrold

• General Practice Dentistry in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.