Individual provider Active NPI

Michael S. Harper, DMD

  • General Practice Dentistry
  • Milwaukie, OR
National Provider Identifier
1992038277
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9311 Issued in OR
Practice address
3300 SE Dwyer Dr Ste 302
Milwaukie, OR 97222-6548
Phone
(503) 850-4479
Fax
(503) 850-4481
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9311 OR Primary

Addresses

Primary practice location

3300 SE Dwyer Dr Ste 302
Milwaukie, OR 97222-6548

Mailing address

6420 SW Macadam Ave Ste 300
Portland, OR 97239-3519

Other identifiers 1

IdentifierTypeStateIssuer
D9311OtherORLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20151014002052 OR Order and Referring Only - DentistPractitioner - Dentist 1052620002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9311ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center General Practice Past Accepting new patients
Neighborhood Health Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1992038277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SE DWYER DR STE 302",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226548",
            "telephone_number": "503-850-4479",
            "fax_number": "503-850-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "D9311",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.