NPIMap

Organization Active NPI

Jim a. Harrell, Jr., D.D.S., PA

  • General Practice Dentistry
  • Elkin, NC
National Provider Identifier
1780863555
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3791 Issued in NC
Legal business name
JIM A. HARRELL, JR., D.D.S., PA
Practice address
835 Claremont Center Dr
Elkin, NC 28621-2488
Phone
(336) 835-3337
Fax
(336) 835-1241
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. James Andrew Harrell Jr., D.D.S.
Title
General Family Dentist
Phone
(336) 835-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3791 NC Primary

Addresses

Primary practice location

835 Claremont Center Dr
Elkin, NC 28621-2488

Mailing address

835 Claremont Center Dr
Elkin, NC 28621-2488
Phone (336) 835-3337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1780863555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CLAREMONT CENTER DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212488",
            "telephone_number": "336-835-3337",
            "fax_number": "336-835-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CLAREMONT CENTER DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212488",
            "telephone_number": "336-835-3337",
            "fax_number": "336-835-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM A. HARRELL, JR., D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "GENERAL FAMILY DENTIST",
        "authorized_official_telephone_number": "336-835-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.