Active NPI
Payton Harker
- General Practice Dentistry
- Show Low, AZ
National Provider Identifier
1891287322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9996
- Practice address
- 308 N White Mountain Rd Ste D
Show Low, AZ 85901-5200 - Phone
- (928) 532-5550
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9996 | AZ | Primary |
Addresses
Primary practice location
308 N White Mountain Rd Ste D
Show Low, AZ 85901-5200
Mailing address
221 N Paloma
Show Low, AZ 85901-3610
Other practice location 1
133 W Central Ave
Eagar, AZ 85925
Phone (928) 333-4121
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halls Advanced Dentistry & Implant Center PLLC | General Practice | Past | Accepting new patients |
| HDP Affinity Dental LLC | General Practice | Past | Accepting new patients |
| Nicholas T Mallory DMD PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Show Low, AZ
- NPI 1164545745
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1891287322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 N PALOMA",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859013610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N WHITE MOUNTAIN RD STE D",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859015200",
"telephone_number": "928-532-5550"
}
],
"practiceLocations": [
{
"address_1": "133 W Central Ave",
"address_purpose": "LOCATION",
"city": "Eagar",
"state": "AZ",
"postal_code": "85925",
"country_code": "US",
"telephone_number": "928-333-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARKER",
"first_name": "PAYTON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "9996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.