Jeffrey C, Harvey D.D.S., SC.D., P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D10196 Issued in MN

Legal business name

JEFFREY C, HARVEY D.D.S., SC.D., P.A.

Practice address

1550 30TH Ave S
Moorhead, MN 56560-5150

Phone

(218) 236-1322

Fax

(218) 236-0719

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Clyde Harvey, D.D.S.

Title

Owner

Phone

(218) 236-1322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1649464850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605150",
            "telephone_number": "218-236-1322",
            "fax_number": "218-236-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605150",
            "telephone_number": "218-236-1322",
            "fax_number": "218-236-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C, HARVEY D.D.S., SC.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-236-1322",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D10196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.