Active NPI
David K. Harrison DDS PC
- General Practice Dentistry
- Fort Wayne, IN
National Provider Identifier
1831279447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12008577
- Legal business name
- DAVID K. HARRISON DDS PC
- Practice address
- 6412 Winchester Rd
Fort Wayne, IN 46819-1550 - Phone
- (260) 747-4747
- Fax
- (260) 747-4749
- NPI assigned
- Oct 17, 2006
- Last updated
- Feb 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David K Harrison
- Title
- Owner
- Phone
- (260) 747-4747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12008577 | IN | Primary |
Addresses
Primary practice location
6412 Winchester Rd
Fort Wayne, IN 46819-1550
Mailing address
6412 Winchester Rd
Fort Wayne, IN 46819-1550
Phone (260) 747-4747
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Fort Wayne, IN
- NPI 1720209000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1831279447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 WINCHESTER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468191550",
"telephone_number": "260-747-4747",
"fax_number": "260-747-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 WINCHESTER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468191550",
"telephone_number": "260-747-4747",
"fax_number": "260-747-4749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID K. HARRISON DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-747-4747"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12008577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Stephanie Daugherty
- Dean Donald Dauscher, MD
- Yasmeen Davenport
- David B. Chalfant PC (Chalfant Chiropractic Center)
- David G. Slyby D.D.S. P.C.
- David K. Wysong DPM, PC
- David Kiningham, LLC (David Kiningham)
- David M. Allen D.D.S. and Associates, P.C. (afdent)
- David N Lombard, PH.D, LLC
- David T Holmes MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.