Individual provider Active NPI

Franklin Reese Harrison Jr., DMD

  • General Practice Dentistry
  • Inlet Beach, FL
National Provider Identifier
1396834396
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14862 Issued in FL
Practice address
50 Origins Main Street
Suite 200
Inlet Beach, FL 32461-2351
Phone
(850) 818-9006
NPI assigned
Oct 11, 2006
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 14862 FL Primary

Addresses

Primary practice location

50 Origins Main Street
Suite 200
Inlet Beach, FL 32461-2351

Mailing address

50 Origins Main Street
Suite 200
Inlet Beach, FL 32461-2351
Phone (850) 818-9006

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
14862FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Dental Studio, LLC General Practice CurrentSince Sep 29, 2024 Accepting new patients

Locations

50 Origins Main St
Ste 200
Inlet Beach, FL 32461
Phone (850) 818-9006

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1396834396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ORIGINS MAIN STREET",
            "address_2": "SUITE 200",
            "city": "INLET BEACH",
            "state": "FL",
            "postal_code": "324612351",
            "telephone_number": "850-818-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ORIGINS MAIN STREET",
            "address_2": "SUITE 200",
            "city": "INLET BEACH",
            "state": "FL",
            "postal_code": "324612351",
            "telephone_number": "850-818-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "FRANKLIN",
        "middle_name": "REESE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inlet Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.