Active NPI
Benjamin Geoffrey Harrison, D.D.S.
- Periodontics
- Remer, MN
National Provider Identifier
1609978550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10832
- Practice address
- 4987 Danens TRL NE
Remer, MN 56672-2001 - Phone
- (218) 566-1434
- Fax
- (218) 566-3531
- NPI assigned
- Sep 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10832 | MN | Primary |
Addresses
Primary practice location
4987 Danens TRL NE
Remer, MN 56672-2001
Mailing address
4987 Danens TRL NE
Remer, MN 56672-2001
Phone (218) 566-1434
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2826 | LA | MD | Counselor |
| 10832 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609978550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4987 DANENS TRL NE",
"city": "REMER",
"state": "MN",
"postal_code": "566722001",
"telephone_number": "218-566-1434",
"fax_number": "218-566-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4987 DANENS TRL NE",
"city": "REMER",
"state": "MN",
"postal_code": "566722001",
"telephone_number": "218-566-1434",
"fax_number": "218-566-3531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "BENJAMIN",
"middle_name": "GEOFFREY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "10832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Remer, MN
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- Tammy Cash
- Cass County Ind School District 118
- Deer River Healthcare Center, Inc. (Essentia Health Remer Clinic)
- Aaron Wade Dormanen
- Jerome D Poland MD LTD (Crosby Eye Clinic/Remer)
- Laurel Lodge Assisted Living Home
- Laurel Lodge Inc.
- Little Sand Group Homes
- Ann Louise Nordlund, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.