Individual provider Active NPI

Jamie D Harvey, D.M.D.

  • Dentist
  • Boiling Springs, SC
National Provider Identifier
1386059582
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DGD.8403 GD Issued in SC
Practice address
1821 Old Furnace Rd
Boiling Springs, SC 29316-7427
Phone
(864) 578-8344
Fax
(864) 578-9255
NPI assigned
Jun 25, 2014
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DGD.8403 GD SC Primary

Addresses

Primary practice location

1821 Old Furnace Rd
Boiling Springs, SC 29316-7427

Mailing address

935 W Home Ave
Hartsville, SC 29550-4435
Phone (843) 332-3781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20160128002614 SC Order and Referring Only - DentistPractitioner - Dentist 8729381421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DGD.8403 GDSCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartsville Family Dentistry Associates Inc PastSince Jul 24, 2022 Accepting new patients
Timmons Dental, LLC Past Accepting new patients
Hartsville Family Dentistry Dentist Past Accepting new patients
Charles B. Hanna, Jr., D.M.D. Past Accepting new patients

Organizations & group practices 4

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1386059582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 W HOME AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504435",
            "telephone_number": "843-332-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 OLD FURNACE RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293167427",
            "telephone_number": "864-578-8344",
            "fax_number": "864-578-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JAMIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8403 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

Verify at the official NPI Registry.