David James Harkema, D.M.D.
Individual provider Active NPI General Practice Dentistry · Grand Ledge, MI
NPI 1710163597 · NPPES record last updated Jan 11, 2008
Key facts
- NPI
- 1710163597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901017953 (MI)
- Practice address
- 100 W Saginaw Hwy
Grand Ledge, MI 48837-1800 - Phone
- (517) 627-7000
- Fax
- (517) 627-3785
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160822002532 | MI | Order and Referring Only - Dentist |
8628363256 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901017953 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J Harkema DMD | Past |
Accepting new patients | |
| David J Harkema DMD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901017953 | MI | Yes |
Addresses
Primary practice location
100 W Saginaw Hwy
Grand Ledge, MI 48837-1800
Mailing address
100 W Saginaw Hwy
Grand Ledge, MI 48837-1800
Phone (517) 627-7000
Other providers in Grand Ledge, MI
- Nolan Hagen
- Kristin L Hamilton
- Steven Dale Hampton
- Amy Lee Hanline
- Marnie Hansen
- Kaylee Harmon
- Hedberg Homecare Services, Inc.
- Brenda Emily Heenan
- Christie Denise Herrick
- Andrea Lynn Herrst
All providers in Grand Ledge, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.