Katie Lynn Harper, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9876 Issued in OR

Practice address

10535 NE Glisan St Ste 301
Portland, OR 97220

Phone

(503) 444-2824

Fax

(503) 444-2823

NPI assigned

Apr 19, 2011

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1548551989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE STE B200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866412",
            "telephone_number": "360-571-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 NE GLISAN ST STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-444-2824",
            "fax_number": "503-444-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10535 NE Glisan St",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972204077",
            "country_code": "US",
            "telephone_number": "503-444-2824",
            "fax_number": "503-444-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP",
            "identifier": "500661580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwight R Harper, D.C.
• Jessica M Harper, PA-C
• Jill Harper
• John Scears Harper, LAC
• Katherine Harper
• Lauren Simone Harper, PHD
• Richard J Harper, MD
• Theo B Harper, M.A., L.P.C.
• Kathryn Marie Harpster, MOTR/L
• Kristin Davis Harquail, QMHP

• Pediatric Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.