Charles Randall Harvell, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AL3673 Issued in AL

Practice address

2303 Starmount Cir SW
Huntsville, AL 35801-3817

Phone

(256) 533-9035

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811014350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 STARMOUNT CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013817",
            "telephone_number": "256-533-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 STARMOUNT CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013817",
            "telephone_number": "256-533-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVELL",
        "first_name": "CHARLES",
        "middle_name": "RANDALL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL3673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "90146",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "829587",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Hartman
• Meagan Elizabeth Hartsfield, CRNP
• Micah Lecroy Hartsfield
• Nadine Jo Hartwig, NP-C
• Leesa R Hartz, CRNA
• Nicholas Mason Harwell
• Donita M Harwood, CRNA
• Unaiza Hasan, MD
• Benjamin Hase, LPC
• Robert L Hash II, M.D.

• General Practice Dentistry in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.