Active NPI
John Dennis Harvey
- Periodontics
- Atlanta, GA
National Provider Identifier
1780111617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN011840
- Practice address
- 3350 W Stubbs Rd
Atlanta, GA 30349-1021 - Phone
- (404) 388-7911
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN011840 | GA | Primary |
Addresses
Primary practice location
3350 W Stubbs Rd
Atlanta, GA 30349-1021
Mailing address
3350 W Stubbs Rd
Atlanta, GA 30349-1021
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN011840 | GA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1780111617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 W STUBBS RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 W STUBBS RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491021",
"telephone_number": "404-388-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "JOHN",
"middle_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "DN011840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.