Individual provider Active NPI

Heather S Harper, D.D.S.

  • General Practice Dentistry
  • Augusta, ME
National Provider Identifier
1851521165
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4111 Issued in ME
Practice address
281 Western Ave
Augusta, ME 04330-4933
Phone
(207) 622-0861
Fax
(207) 626-3146
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN4111 ME Primary

Addresses

Primary practice location

281 Western Ave
Augusta, ME 04330-4933

Mailing address

281 Western Ave
Augusta, ME 04330-4933
Phone (207) 622-0861

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707001944 ME Order and Referring Only - DentistPractitioner - Dentist 0143512392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN4111MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Dental Associates LLC General Practice Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1851521165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304933",
            "telephone_number": "207-622-0861",
            "fax_number": "207-626-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304933",
            "telephone_number": "207-622-0861",
            "fax_number": "207-626-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "HEATHER",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.