Individual provider Active NPI

Cheryl Harmon, D.D.S.

  • Dentist
  • Montgomery City, MO
National Provider Identifier
1982799326
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015437 Issued in MO
Practice address
1225 Aguilar Dr
Montgomery City, MO 63361-2723
Phone
(573) 582-1234
NPI assigned
Oct 3, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019021997 IL
Dentist 122300000X 015437 MO Primary

Addresses

Primary practice location

1225 Aguilar Dr
Montgomery City, MO 63361-2723

Mailing address

1225 Aguilar Dr
Montgomery City, MO 63361-2723
Phone (573) 582-1234

Other practice location 1

340 Kelley Pkwy
Mexico, MO 65265-3811
Phone (573) 582-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20250915000383 MO Practitioner - Dentist 5991016305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Howard University College of Dentistry, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

340 Kelley Pkwy
Mexico, MO 65265-3811

809 Holliday Dr
Fairview Heights, IL 62208-2954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019021997ILMDDentist
015437MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Jun 16, 2025 Accepting new patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Jun 16, 2025 Accepting new patients

Locations

340 Kelley Pkwy
Mexico, MO 65265
Phone 5735821234 ext. 3017

1225 Aguilar Dr
Montgomery City, MO 63361
Phone (573) 574-1999

Interoperability endpoints

  • Direct secure messaging: cheryl.harmon.p1@direct.arthurcenter.nextgenshare.com
  • Direct secure messaging: cheryl.harmon.p1@direct.chesi.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1982799326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 AGUILAR DR",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612723",
            "telephone_number": "573-582-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AGUILAR DR",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612723",
            "telephone_number": "573-582-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Kelley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652653811",
            "country_code": "US",
            "telephone_number": "573-582-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMON",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021997",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery City, MO

Sources for this page

Verify at the official NPI Registry.