Beverly Harrison

Primary specialty

DentistTaxonomy code 122300000X

License

12009566A Issued in IN

Practice address

755 W Carmel Dr
Ste 215
Carmel, IN 46032-5878

Phone

(317) 249-1001

Fax

(317) 249-1003

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beverly S Harrison Professional name

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407938673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "STE 215",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325878",
            "telephone_number": "317-249-1001",
            "fax_number": "317-249-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "STE 215",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325878",
            "telephone_number": "317-249-1001",
            "fax_number": "317-249-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009566A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "HARRISON",
            "middle_name": "S",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Aaron Charles Harris, PT
• Andrea Marie Harris, PA-C
• Ava Harris
• Braegan Harris
• Heather Nicole Harris, PA-C
• Erin Elizabeth Harrison, AG-ACNP
• Matthew Harrison, LAT, ATC
• Rebecca Lynette Harrison, COTA/L
• Tracy Lynn Harrison, MSED, BCABA
• Amy J Harshman, M.A., LMFT

• Dentist in Carmel, IN
• Providers in Carmel, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.