Individual provider Active NPI

Sarina Michelle Harman-Tinnel, D.D.S.

  • Dentist
  • Shawnee, KS
National Provider Identifier
1679528657
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60456 Issued in KS
Practice address
11644 W 75TH St
Suite 101
Shawnee, KS 66214-1372
Phone
(913) 962-0036
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60456 KS Primary

Addresses

Primary practice location

11644 W 75TH St
Suite 101
Shawnee, KS 66214-1372

Mailing address

11644 W 75TH St
Suite 101
Shawnee, KS 66214-1372
Phone (913) 962-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20150617002689 KS Order and Referring Only - DentistPractitioner - Dentist 5597076521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarina Harman-Tinnel, DDS, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1679528657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11644 W 75TH ST",
            "address_2": "SUITE 101",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141372",
            "telephone_number": "913-962-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11644 W 75TH ST",
            "address_2": "SUITE 101",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141372",
            "telephone_number": "913-962-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN-TINNEL",
        "first_name": "SARINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.