Marc Allen Harrison, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2015015174 Issued in MO

Practice address

2025 W 200 N Ste 1
Kaysville, UT 84037-4300

Phone

(801) 544-3323

NPI assigned

Jun 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dental Enterprises

  dba Kaysville Pediatric Dental & Orthodontics

  • Pediatric Dentistry
  • Kaysville, UT
  • NPI 1184281206
  NPD

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1508246711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 W 425 S",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413697",
            "telephone_number": "801-520-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W 200 N STE 1",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374300",
            "telephone_number": "801-544-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 N 300 W",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840371879",
            "country_code": "US",
            "telephone_number": "801-544-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MARC",
        "middle_name": "ALLEN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "10160807-9923",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2015015174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@kpdortho.com",
            "affiliation": "N",
            "address_1": "2025 W 200 N Ste 1",
            "city": "Kaysville",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840374300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristy Harding, LMFT
• Kenia Nicole Haroldsen, RD
• Brian K Harris, RPH
• Cody Harris, LCSW
• Tami Harris, LMT
• Stephanie Harrison, APRN, FNP-C
• Erica Jean Hart, R.D.
• Susan B Hastings, PA-C
• Matt Hauck
• Devin Hayes

• Pediatric Dentistry in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.