Active NPI
Taylor Harlan, DDS
- Pediatric Dentistry
- Denver, NC
National Provider Identifier
1467951806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30.025693
- Practice address
- 407 NC-16 Bus Hwy
Denver, NC 28037-2664 - Phone
- (704) 966-1919
- NPI assigned
- Feb 11, 2018
- Last updated
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.025693 | OH | |
| Pediatric Dentistry | 1223P0221X | 30.025693 | OH | Primary |
| Pediatric Dentistry | 1223P0221X | 11913 | NC |
Addresses
Primary practice location
407 NC-16 Bus Hwy
Denver, NC 28037-2664
Mailing address
904 Lexington Ave
Charlotte, NC 28203-4829
Phone (239) 877-6912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0343743 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025693 | OH | MD | Pediatric Dentist |
| 11913 | NC | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1467951806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 LEXINGTON AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034829",
"telephone_number": "239-877-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 NC-16 BUS HWY",
"city": "DENVER",
"state": "NC",
"postal_code": "280372664",
"telephone_number": "704-966-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLAN",
"first_name": "TAYLOR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-11",
"last_updated": "2024-01-12",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.025693",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30.025693",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "11913",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0343743",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.