Individual provider Active NPI

Christopher W Harada, DDS

  • General Practice Dentistry
  • Havre, MT
National Provider Identifier
1992931927
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2353 Issued in MT
Practice address
130 13TH St Ste 2
Havre, MT 59501-5219
Phone
(406) 265-2063
NPI assigned
Jun 4, 2009
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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 2353 MT Primary

Addresses

Primary practice location

130 13TH St Ste 2
Havre, MT 59501-5219

Mailing address

130 13TH St Ste 2
Havre, MT 59501-5219
Phone (406) 265-2063

Other practice location 1

202 2nd Street South
Suite 203
Great Falls, MT 59401-5940
Phone (406) 791-9267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2353MTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1992931927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 13TH ST STE 2",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015219",
            "telephone_number": "406-265-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 13TH ST STE 2",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015219",
            "telephone_number": "406-265-2063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 2nd Street South",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594015940",
            "country_code": "US",
            "telephone_number": "406-791-9267",
            "fax_number": "406-791-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARADA",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.