Andrew Harrell, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10198 Issued in NC

Practice address

200 Beverly Hanks Ctr Ste B
Hendersonville, NC 28792

Phone

(828) 693-7533

NPI assigned

Jul 10, 2015

Reactivated

Aug 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 and National Provider Directory roles.

• Mountain Perio

  • Periodontics
  • Hendersonville, NC
  • NPI 1134339385
  NPD (past) Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1669856530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEVERLY HANKS CTR STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEVERLY HANKS CTR STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28792",
            "telephone_number": "828-693-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Market St",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287125635",
            "country_code": "US",
            "telephone_number": "828-884-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288012426",
            "country_code": "US",
            "telephone_number": "828-232-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2018-08-15",
        "deactivation_date": "2018-08-08",
        "reactivation_date": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6291",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "10198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Crowe Hardin, PA
• Meredith Anne Harding-Bremner, PA
• Nina Harkhani, MD
• Linda Levy Harley, MSW LCSW
• Charles Clifford Harpe, M.D.
• Anna Quinn Harrelson, MD
• Melisa G Harrington, M.D.
• Harris Teeter, LLC
• Chastity Mikeal Harris
• Jason Browne Hart, LCAS-A, LPC-A

• Periodontics in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.