Individual provider Active NPI

Howard Justin Harlow, DDS

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1750793758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9743 Issued in NC
Practice address
10922 S Tryon St Ste D
Charlotte, NC 28273-4152
Phone
(704) 588-1515
Fax
(704) 588-1514
NPI assigned
May 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9743 NC Primary

Addresses

Primary practice location

10922 S Tryon St Ste D
Charlotte, NC 28273-4152

Mailing address

10922 S Tryon St Ste D
Charlotte, NC 28273-4152
Phone (704) 588-1515

Other practice location 1

8305 University Exec Park Dr
Suite 300
Charlotte, NC 28262-1361
Phone (704) 547-1279

Other identifiers 1

IdentifierTypeStateIssuer
1750793758MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9743NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Justin Harlow DDS PA 2 General Practice CurrentSince Nov 10, 2019 Accepting new patients
H. Justin Harlow, DDS PA General Practice CurrentSince Jul 24, 2022 Accepting new patients
Justin Harlow DDS PA 3 Current Accepting new patients

Locations

10922 S Tryon St
Ste D
Charlotte, NC 28273
Phone (704) 504-0999

2607 E 7th St
Ste 102
Charlotte, NC 28204
Phone (704) 333-6010

Organizations & group practices 3

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": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750793758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734152",
            "telephone_number": "704-588-1515",
            "fax_number": "704-588-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734152",
            "telephone_number": "704-588-1515",
            "fax_number": "704-588-1514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8305 University Exec Park Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621361",
            "country_code": "US",
            "telephone_number": "704-547-1279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "HOWARD",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750793758",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.