Shane Lemyel Harmon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012138A Issued in IN

Practice address

4212 E Michigan Blvd
Michigan City, IN 46360-3131

Phone

(219) 874-7224

Fax

(219) 879-8153

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan City Dental, P.C.

  • General Practice Dentistry
  • Michigan City, IN
  • NPI 1932267515
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1619383023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 E MICHIGAN BLVD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603131",
            "telephone_number": "219-874-7224",
            "fax_number": "219-879-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 E MICHIGAN BLVD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603131",
            "telephone_number": "219-874-7224",
            "fax_number": "219-879-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "SHANE",
        "middle_name": "LEMYEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012138A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rakesh Kumar Gupta, MD
• Eileen Haas, PTA
• Rita Anne Halac, FNP
• Tori Halcarz
• Hanger Prosthetics & Orthotics Inc
• Terry Harris, PTA
• Natalie Ann Hartney, LMHC LPC
• James O Hartson, MD
• Twila Harvest
• Valerie Haughtington, DDS

• General Practice Dentistry in Michigan City, IN
• Providers in Michigan City, 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 Jul 7, 2014; 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.