Active NPI
Jeffrey A. Harrison, D.M.D.
- Prosthodontics
- Wellesley, MA
National Provider Identifier
1851517841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 16476
- Practice address
- 258 Washington St
Wellesley, MA 02481-4964 - Phone
- (781) 237-7400
- Fax
- (781) 237-7416
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 16476 | MA | Primary |
Addresses
Primary practice location
258 Washington St
Wellesley, MA 02481-4964
Mailing address
258 Washington St
Wellesley, MA 02481-4964
Phone (781) 237-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20220928001464 | MA | Order and Referring Only - Dentist | 7113303199 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16476 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1851517841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 WASHINGTON ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024814964",
"telephone_number": "781-237-7400",
"fax_number": "781-237-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 WASHINGTON ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024814964",
"telephone_number": "781-237-7400",
"fax_number": "781-237-7416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JEFFREY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "16476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
- Bethany W Harrington, PT
- Christine M Harrington, M.D.
- Mariah Grace Harrington, M.S. ED.
- Alexander Ramirez Harris, MA
- Virginia Sydness Harris, CSB
- Amanda Harrow, BSN, RN, MSN, FNP-BC
- Harvard Vanguard Medical Assoc.
- Harvard Vanguard Medical Associates
- Harvard Vanguard Medical Associates
- Caileen Harvey, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.