Individual provider Active NPI

Karen Lillian Harriman, DDS

  • General Practice Dentistry
  • Falls Church, VA
National Provider Identifier
1881716736
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04147152 Issued in VA
Practice address
3100 S Manchester St Ste T4
Falls Church, VA 22044-2719
Phone
(703) 671-2222
Fax
(703) 671-2022
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11989 MD
General Practice Dentistry 1223G0001X 04147152 VA Primary

Addresses

Primary practice location

3100 S Manchester St Ste T4
Falls Church, VA 22044-2719

Mailing address

3100 S Manchester St Ste T4
Falls Church, VA 22044-2719
Phone (703) 671-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11989MDMDClinical Social Worker
04147152VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental One Associates Waldorf LLC Dentist 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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1881716736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S MANCHESTER ST STE T4",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442719",
            "telephone_number": "703-671-2222",
            "fax_number": "703-671-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S MANCHESTER ST STE T4",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442719",
            "telephone_number": "703-671-2222",
            "fax_number": "703-671-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIMAN",
        "first_name": "KAREN",
        "middle_name": "LILLIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11989",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "04147152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.