David Charles Harrison

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

114949 Issued in IA

Practice address

2785 N Ankeny Blvd
Ankeny, IA 50023-4705

Phone

(816) 590-3010

NPI assigned

Aug 21, 2020

Sex

Male

Sole proprietor

Yes

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

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1679185581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SE 5TH CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216407",
            "telephone_number": "816-590-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234705",
            "telephone_number": "816-590-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "114949",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Home Health
• Chelsea Jolene Harper, PT, DPT
• Camille Lynn Harris, TCDAC
• Kayla Harris
• David Harrison, DO
• Kari Marie Harvey, ARNP, FNP-C
• Jade Harwell
• Evan Haskins, DDS
• Heather Hastings
• Hatch SC Anesthesia LLC

• Athletic Trainer in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.