Organization Active NPI

Harmon Family Dentistry

  • Public Health Dentistry
  • Grand Rapids, MI
National Provider Identifier
1780158907
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
HARMON FAMILY DENTISTRY
Practice address
3575 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5934
Phone
(616) 949-2650
Fax
(616) 222-0747
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Julie A Jones
Title
Secretary
Phone
(616) 949-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

3575 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5934

Mailing address

3575 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5934
Phone (616) 949-2650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1780158907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 LAKE EASTBROOK BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465934",
            "telephone_number": "616-949-2650",
            "fax_number": "616-222-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 LAKE EASTBROOK BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465934",
            "telephone_number": "616-949-2650",
            "fax_number": "616-222-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "616-949-2650"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.