Patrick Michael Harrison, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7635 Issued in CO

Practice address

2105 Bighorn Rd
Suite #200
Fort Collins, CO 80525-3558

Phone

(970) 226-5400

Fax

(970) 226-3722

NPI assigned

Nov 1, 2006

Last updated

Apr 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Bighorn Family Dental LLC

  • General Practice Dentistry
  • Fort Collins, CO
  • NPI 1265696256
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1912085481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BIGHORN RD",
            "address_2": "SUITE #200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253558",
            "telephone_number": "970-226-5400",
            "fax_number": "970-226-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BIGHORN RD",
            "address_2": "SUITE #200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253558",
            "telephone_number": "970-226-5400",
            "fax_number": "970-226-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32622830",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Harris
• Richard Harrison-Atlas, MD
• Elizabeth Graham Harrison, LCSW
• Gabriele Michaela Harrison, PMHNP
• Jennifer Harrison, FNP, BS, BSN, RN
• Robert Thomas Harrison, DDS
• Spencer Harrison, M.D.
• Wendy A Harrison
• William Louis Harrison, M.D.
• Bradley H Harriss, O.T.

• Dentist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.

Verify at the official NPI Registry.