Individual provider Active NPI

Michael Joseph Harkins, D.M.D.

  • Dentist
  • Clinton, MS
National Provider Identifier
1467804955
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202934 Issued in CO
Practice address
543 Highway 80 W Ste C
Clinton, MS 39056-4105
Phone
(601) 924-8600
Fax
(601) 924-8622
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3877-16 MS
General Practice Dentistry 1223G0001X 3877-16 MS
Dentist 122300000X 00202934 CO Primary

Addresses

Primary practice location

543 Highway 80 W Ste C
Clinton, MS 39056-4105

Mailing address

PO Box 2260
Clinton, MS 39060-2260
Phone (601) 966-3362

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
00202934COMDDentist
3877-16MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harkins Dental PLLC CurrentSince Dec 10, 2023 Accepting new patients
Harkins Family Dentistry, PLLC PastSince Dec 10, 2023 Accepting new patients
Visiting Ancillary Services, Inc Past Accepting new patients

Locations

543 Highway 80 W
Ste C
Clinton, MS 39056
Phone (601) 924-8600

Organizations & group practices 3

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1467804955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2260",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390602260",
            "telephone_number": "601-966-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 HIGHWAY 80 W STE C",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564105",
            "telephone_number": "601-924-8600",
            "fax_number": "601-924-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3877-16",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3877-16",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.