Individual provider Active NPI

John Floyd Harrington Jr., D.D.S.

  • General Practice Dentistry
  • Milledgeville, GA
National Provider Identifier
1356354724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009936 Issued in GA
Practice address
645 W Thomas St
Milledgeville, GA 31061-2337
Phone
(478) 453-8666
Fax
(478) 452-0223
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 009936 GA Primary

Addresses

Primary practice location

645 W Thomas St
Milledgeville, GA 31061-2337

Mailing address

645 W Thomas St
Milledgeville, GA 31061-2337
Phone (478) 453-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150711000057 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901118447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009936GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356354724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612337",
            "telephone_number": "478-453-8666",
            "fax_number": "478-452-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W THOMAS ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612337",
            "telephone_number": "478-453-8666",
            "fax_number": "478-452-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "JOHN",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "009936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.