Active NPI
Kelsey Ann Harney, D.M.D.
- Dentist
- Gorham, ME
National Provider Identifier
1841602844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4444
- Practice address
- 94 Main St
Gorham, ME 04038-1340 - Phone
- (207) 839-2655
- NPI assigned
- May 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4444 | ME | Primary |
| Dentist | 122300000X | DN1856516 | MA |
Addresses
Primary practice location
94 Main St
Gorham, ME 04038-1340
Mailing address
94 Main St
Gorham, ME 04038-1340
Phone (207) 839-2655
Other names 1
- Kelsey Ann Hill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160204000912 | ME | Order and Referring Only - Dentist | 2860796224 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856516 | MA | MD | Dentist |
| DEN4444 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey a Harney DMD LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Falmouth, ME
- NPI 1194540203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1841602844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381340",
"telephone_number": "207-839-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 MAIN ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381340",
"telephone_number": "207-839-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNEY",
"first_name": "KELSEY",
"middle_name": "ANN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-24",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4444",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856516",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "HILL",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.