Organization Active NPI

Harmon Denture Clinic LLC

  • General Practice Dentistry
  • Stillwater, OK
National Provider Identifier
1679190953
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARMON DENTURE CLINIC LLC
Practice address
104 E McElroy Rd Ste 4
Stillwater, OK 74075-3803
Phone
(405) 332-4160
Fax
(405) 332-4164
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Mrs. Marsha Kaye Harmon, BUS MGR
Title
Bus MGR
Phone
(405) 332-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

104 E McElroy Rd Ste 4
Stillwater, OK 74075-3803

Mailing address

104 E McElroy Rd Ste 4
Stillwater, OK 74075-3803
Phone (405) 332-4160

Other identifiers 1

IdentifierTypeStateIssuer
4053324160MedicaidOK

National Provider Directory

National Provider Directory

Locations

104 E McElroy Rd
Ste 4
Stillwater, OK 74075
Phone (405) 332-4160

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1679190953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E MCELROY RD STE 4",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740753803",
            "telephone_number": "405-332-4160",
            "fax_number": "405-332-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MCELROY RD STE 4",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740753803",
            "telephone_number": "405-332-4160",
            "fax_number": "405-332-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON DENTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "BUS MGR",
        "authorized_official_telephone_number": "405-332-4160",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BUS MGR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4053324160",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.