Individual provider Active NPI

Erik Juel Harriman, D.M.D

  • Dentist
  • Kissimmee, FL
National Provider Identifier
1366843237
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600359 Issued in MI
Practice address
200 W Oak St
Kissimmee, FL 34741-4420
Phone
(407) 932-0883
Fax
(407) 932-4251
NPI assigned
Sep 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600359 MI Primary
Dentist 122300000X DS040138 PA

Addresses

Primary practice location

200 W Oak St
Kissimmee, FL 34741-4420

Mailing address

200 W Oak St
Kissimmee, FL 34741-4420
Phone (407) 932-0883

Other practice location 1

207 N Broad St Fl 1
Philadelphia, PA 19107-1500
Phone (215) 762-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901600359MIMDDentist
DS040138PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Oral Surgery and Dental Implant Center Current Accepting new patients
Oral and Facial Surgery Center PastSince Feb 12, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1366843237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414420",
            "telephone_number": "407-932-0883",
            "fax_number": "407-932-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414420",
            "telephone_number": "407-932-0883",
            "fax_number": "407-932-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Broad St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071500",
            "country_code": "US",
            "telephone_number": "215-762-5643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIMAN",
        "first_name": "ERIK",
        "middle_name": "JUEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600359",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.