Individual provider Active NPI

Chandler Harnage, DMD

  • General Practice Dentistry
  • Olive Branch, MS
National Provider Identifier
1578355111
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
112623 Issued in MS
Practice address
5218 Goodman Rd Ste 109
Olive Branch, MS 38654-7985
Phone
(662) 667-8813
NPI assigned
May 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 112623 MS Primary

Addresses

Primary practice location

5218 Goodman Rd Ste 109
Olive Branch, MS 38654-7985

Mailing address

8403 Tapestry Cir Unit 303
Louisville, KY 40222-8310
Phone (270) 282-3193

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
112623MSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1578355111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 TAPESTRY CIR UNIT 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402228310",
            "telephone_number": "270-282-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 GOODMAN RD STE 109",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547985",
            "telephone_number": "662-667-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNAGE",
        "first_name": "CHANDLER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "112623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.