Active NPI
Tanner Martin Harp, DMD
- Dentist
- Radcliff, KY
National Provider Identifier
1790307213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10445
- Practice address
- 1100 S Dixie Blvd
Radcliff, KY 40160-1105 - Phone
- (270) 351-5858
- NPI assigned
- May 7, 2020
- Last updated
- Apr 26, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10445 | KY | Primary |
Addresses
Primary practice location
1100 S Dixie Blvd
Radcliff, KY 40160-1105
Mailing address
1100 S Dixie Blvd
Radcliff, KY 40160-1105
Phone (270) 351-5858
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 |
|---|---|---|---|
| 10445 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwell Family Dentistry, PSC | Current | Accepting new patients | |
| Magnolia Dental | Past | Accepting new patients |
Locations
1100 S Dixie Blvd
Radcliff, KY 40160
Phone (270) 351-5858
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Generations Family Dentistry
- General Practice Dentistry
- Louisville, KY
- NPI 1205070034
-
- General Practice Dentistry
- Louisville, KY
- NPI 1689183642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1790307213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S DIXIE BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601105",
"telephone_number": "270-351-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S DIXIE BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601105",
"telephone_number": "270-351-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARP",
"first_name": "TANNER",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-07",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
- Guiding Lights PLC (Lincoln Trail Adult Day care)
- Kristopher Hall I
- Elyse Marie Hardesty, ARNP
- Hardin Eyewear Inc
- Shameka Ann Hardin, CSW
- Jordan T Harris, MFTA
- Harvey and Nichols Radcliff PLLC (Harvey and Nichols Radcliff)
- Megan Haycraft, BS RBT
- Bethany Alexander Haynes, M.D.
- Theresa C. I. Hayward, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.