Active NPI
Frank W Harmon, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Shreveport, LA
National Provider Identifier
1942391362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 4245
- Practice address
- 2120 Bert Kouns
Suite D
Shreveport, LA 71118 - Phone
- (318) 687-9800
- Fax
- (318) 687-4752
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 4245 | LA | Primary |
Addresses
Primary practice location
2120 Bert Kouns
Suite D
Shreveport, LA 71118
Mailing address
2120 Bert Kouns
Suite D
Shreveport, LA 71118
Phone (318) 687-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1842454 | Medicaid | LA |
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 May 7, 2015 through May 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4245 | LA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David K Clark DDS - Oral Surgery Associates-Apdc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Shreveport, LA
- NPI 1497054613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942391362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 BERT KOUNS",
"address_2": "SUITE D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71118",
"telephone_number": "318-687-9800",
"fax_number": "318-687-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 BERT KOUNS",
"address_2": "SUITE D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71118",
"telephone_number": "318-687-9800",
"fax_number": "318-687-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "FRANK",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "LA",
"license": "4245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1842454",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.