Organization Active NPI

Harmony Pediatric Dental Group LLC

  • Pediatric Dentistry
  • Sandy, OR
National Provider Identifier
1942712922
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HARMONY PEDIATRIC DENTAL GROUP LLC
Practice address
37515 SE Hwy 26
Sandy, OR 97055
Phone
(503) 912-6255
NPI assigned
Oct 30, 2017
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Nate Rockwell
Title
Cpa
Phone
(775) 336-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

37515 SE Hwy 26
Sandy, OR 97055

Mailing address

3605 Grant Dr
Reno, NV 89509-5301
Phone (775) 409-4614

Other identifiers 1

IdentifierTypeStateIssuer
1223P0221XOtherORPEDIATRIC DENTISTRY

National Provider Directory

National Provider Directory
Tax ID family
Harmony Pediatric Dental Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

37515 Highway 26
Sandy, OR 97055
Phone (503) 912-6255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1942712922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-409-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37515 SE HWY 26",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "97055",
            "telephone_number": "503-912-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY PEDIATRIC DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "775-336-1510"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC DENTISTRY",
            "identifier": "1223P0221X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.