Organization Active NPI

Harville Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingsport, TN
National Provider Identifier
1982087326
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9754 Issued in TN
Legal business name
HARVILLE ORTHODONTICS PLLC
Practice address
2025 Meadowview Pkwy
Suite 200
Kingsport, TN 37660-7386
Phone
(423) 247-5137
Fax
(423) 392-8595
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Dr. Jennifer Nottingham Harville, D.M.D.NPI 1811325483
Title
Orthodontist/Owner
Phone
(423) 247-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9754 TN Primary

Addresses

Primary practice location

2025 Meadowview Pkwy
Suite 200
Kingsport, TN 37660-7386

Mailing address

2025 Meadowview Pkwy
Suite 200
Kingsport, TN 37660-7386
Phone (423) 247-5137

Other identifiers 1

IdentifierTypeStateIssuer
Q002056MedicaidTN

National Provider Directory

National Provider Directory

Locations

2025 Meadowview Pkwy
Ste 200
Kingsport, TN 37660
Phone (423) 247-5137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1982087326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MEADOWVIEW PKWY",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607386",
            "telephone_number": "423-247-5137",
            "fax_number": "423-392-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MEADOWVIEW PKWY",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607386",
            "telephone_number": "423-247-5137",
            "fax_number": "423-392-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVILLE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "HARVILLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NOTTINGHAM",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "423-247-5137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "9754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.