Kelly Charles Harden

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14309 Issued in FL

Practice address

3825 Oakwater Cir.
Orlando, FL 32806-6264

Phone

(407) 826-5205

Fax

(407) 240-0166

NPI assigned

Apr 17, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alex Kobb, D.D.S., PA

  • Skilled Nursing Facility
  • Margate, FL
  • NPI 1477799351
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851517155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066264",
            "telephone_number": "407-826-5205",
            "fax_number": "407-240-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 OAKWATER CIR.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066264",
            "telephone_number": "407-826-5205",
            "fax_number": "407-240-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "KELLY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Harbaugh, MSOT, OTR
• Harbor Dr. Phillips Operating, LLC (HarborChase of Dr. Phillips)
• Adam Harborth
• Barbara Lynn Harden, MS CCC SLP
• David Lawrence Harden, D.M.D.
• Petra W. Harden, CRNA
• Allison Marie Harder
• Victoria Parker Hardig, PHARMD
• Amanda Marie Harding
• David R Harding, MD

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• 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.