Individual provider Active NPI

Jeffrey James Harrie, DDS

  • General Practice Dentistry
  • Fargo, ND
National Provider Identifier
1326576828
Registry record updated May 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2308 Issued in ND
Practice address
3525 25TH St S
Fargo, ND 58104-5900
Phone
(701) 298-9400
NPI assigned
May 27, 2017
Last updated
May 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2017

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 2308 ND Primary

Addresses

Primary practice location

3525 25TH St S
Fargo, ND 58104-5900

Mailing address

3326 11TH St S
Fargo, ND 58104-6236
Phone (701) 388-8979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20171006002792 ND Order and Referring Only - DentistPractitioner - Dentist 5890060479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2308NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J Harrie DDS PC PastSince Jul 24, 2022 Accepting new patients
Designer Smiles PLLC Past Accepting new patients

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": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495843200000",
    "number": "1326576828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 11TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046236",
            "telephone_number": "701-388-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045900",
            "telephone_number": "701-298-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIE",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-27",
        "last_updated": "2017-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.