Active NPI
Harry E Jamison, DDS
- Periodontics
- Green Valley, AZ
National Provider Identifier
1922012889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 1895
- Practice address
- 101 S Lacanada Drive
Suite 54
Green Valley, AZ 85614 - Phone
- (520) 625-2311
- Fax
- (520) 625-2090
- NPI assigned
- Jul 28, 2006
- Last updated
- May 17, 2024
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 1895 | AZ | Primary |
Addresses
Primary practice location
101 S Lacanada Drive
Suite 54
Green Valley, AZ 85614
Mailing address
101 54 S Lacanada Drive
Green Valley, AZ 85614
Phone (520) 625-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1895 | AZ | MD | Periodontist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Periodontics
- Green Valley, AZ
- NPI 1316582323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1922012889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 54 S LACANADA DRIVE",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-625-2311",
"fax_number": "520-625-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S LACANADA DRIVE",
"address_2": "SUITE 54",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-625-2311",
"fax_number": "520-625-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "HARRY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2024-05-17",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AZ",
"license": "1895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Valley, AZ
- Hummingbird Healthcare LLC (Agape South)
- Yulianna Suzett Inzunza, FNP
- James D Wright DDS PC (Del Norte Dental Associates)
- James E. Flores OD PC
- James M Trout MPT & Associates Physical Therapy LLC
- Manfei Jiang, PHARMD
- Rodolfo Jimenez, D.O.
- JMS Serenity First, LLC
- Johnson Dental Partners
- Johnson Dental Partners South LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.