Individual provider Active NPI

John P Harmeyer, DDS

  • Dentist
  • Bellbrook, OH
National Provider Identifier
1285792358
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19904 Issued in OH
Practice address
4291 Sugarcreek Dr
Bellbrook, OH 45305
Phone
(937) 848-7741
Fax
(937) 848-9394
NPI assigned
Dec 4, 2006
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19904 OH Primary

Addresses

Primary practice location

4291 Sugarcreek Dr
Bellbrook, OH 45305

Mailing address

4291 Sugarcreek Dr
Bellbrook, OH 45305
Phone (937) 848-7741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20161117002752 OH Order and Referring Only - DentistPractitioner - Dentist 3072892835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19904OHMDDentist

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1285792358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4291 SUGARCREEK DR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "45305",
            "telephone_number": "937-848-7741",
            "fax_number": "937-848-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4291 SUGARCREEK DR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "45305",
            "telephone_number": "937-848-7741",
            "fax_number": "937-848-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMEYER",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellbrook, OH

Sources for this page

Verify at the official NPI Registry.