E. Paul Harder, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015297 Issued in MO

Practice address

2727 Saint Marys Ave
Hannibal, MO 63401-3774

Phone

(573) 221-1227

Fax

(573) 221-5564

NPI assigned

Jan 31, 2007

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hannibal Dental Group

  • General Practice Dentistry
  • Hannibal, MO
  • NPI 1699745935
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1851438808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PALMYRA RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012021",
            "telephone_number": "573-221-1227",
            "fax_number": "573-221-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAINT MARYS AVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013774",
            "telephone_number": "573-221-1227",
            "fax_number": "573-221-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDER",
        "first_name": "E.",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403004609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannibal Regional Hospital (Hannibal Regional Medical Group Vision Institute)
• Hannibal Regional Hospital (Vision Institute)
• Hannibal School District #60
• Hannibal Vision Center, Inc. (Hannibal Vision Center)
• Tiffany Noel Happel, LPC
• Holly Mae Hardy, DNAP, CRNA
• Gillian Hark
• Harmony Grace Home Care Services LLC
• Matthew C Harris, LPC
• Ashley Diane Harrison, RN, BSN

• General Practice Dentistry in Hannibal, MO
• Providers in Hannibal, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.