Robbie Frank Harrell, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10239 Issued in AZ

Practice address

3123 W 23Rd St
Panama City, FL 32405-1828

Phone

(850) 481-1969

NPI assigned

Jun 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Dental Specialists of Florida PLLC

  • Pediatric Dentistry
  • Osprey, FL
  • NPI 1396433512
  NPD Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1780113944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051828",
            "telephone_number": "850-481-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051828",
            "telephone_number": "850-481-1969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 W Northern Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853011590",
            "country_code": "US",
            "telephone_number": "623-500-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "ROBBIE",
        "middle_name": "FRANK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "10239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Harless, ARNP, FNP/C
• Brittni Kae Harlow, DC
• Kristin Harman, LPN
• Robin Lynn Harr, ATC
• Brandon Kent Harrell, DC
• Sarah Ann Harrell, DPT
• Vickie N Harrell, M.D.
• Scarlett Stephenson Harrington, MSW
• Ausband Harris Jr.
• Charles Ronald Harris, PHARMACIST

• All providers in Panama City, FL
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.