Micaela Harrison, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013854A Issued in IN

Practice address

1316 Mill St
Crawfordsville, IN 47933-3644

Phone

(765) 362-9245

NPI assigned

Sep 29, 2022

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 names 1

• Micaela Bartley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1609590074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 N COUNTY ROAD 21 W",
            "city": "LIZTON",
            "state": "IN",
            "postal_code": "461499457",
            "telephone_number": "317-508-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MILL ST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333644",
            "telephone_number": "765-362-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MICAELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013854A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "BARTLEY",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Harless, PT
• Anna Harmless, MSW, LCSW
• Tessa Harmon
• Hannah Harper
• Kyle A Harrison, DDS
• Abigail Lee Harshbarger, RN
• Madelyn Hawkins, RBT
• Audrey Marie Head, SLPA
• Healistic, LLC
• Heartland Anesthesia and Perioperative Specialists, LLC.

• General Practice Dentistry in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• General Practice Dentistry in Indiana

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