Organization Active NPI

Harl Family Dentistry

  • Dentist
  • Columbia, MO
National Provider Identifier
1346099033
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HARL FAMILY DENTISTRY
Practice address
1100 Club Village Dr Ste 102
Columbia, MO 65203-4411
Phone
(573) 443-5195
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Dr. Nicholas Jay Harl, DDSNPI 1346925351
Title
Owning Dentist
Phone
(573) 443-5195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1100 Club Village Dr Ste 102
Columbia, MO 65203-4411

Mailing address

1100 Club Village Dr Ste 102
Columbia, MO 65203-4411
Phone (573) 443-5195

Other names 1

  • Mike Minten DDS General Dentistry Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1346099033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-443-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-443-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "HARL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNING DENTIST",
        "authorized_official_telephone_number": "573-443-5195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike Minten DDS General Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.