DR. KENNETH MICHAEL HARRISON (NPI# 1295705713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295705713 |
| Entity Type | Individual |
| Full Name | DR. KENNETH MICHAEL HARRISON |
| Credential | D.D.S. |
| Practice Address |
3259 Catlin Ave Quantico VA 22134-5109 |
| Practice Telephone | 7037842801 |
| Mailing Telephone | 7037842801 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401008494 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225270317 | Kenneth D. Harrison | Obstetrics & Gynecology | 3350 Camels Ridge Ln, Colorado Springs, CO 80904-1030 | 2009-04-03 |
| 1871670695 | Kenneth Lee Harrison Jr. | Physician Assistant | 3177 Ocean View Blvd., Comprehensive Health Center/san Ysidro Health Center, San Diego, CA 92113 | 2006-11-01 |
| 1649311754 | Kenneth Harrison | Radiology | 201 N Washington St, Kaiser Permanente Falls Church Medical Center, Falls Church, VA 22046-4518 | 2007-02-09 |
| 1104915537 | Kenneth Thomas Harrison | Dentist | 12900 Perris Blvd, Ste 201, Moreno Valley, CA 92553-4135 | 2006-10-12 |
| Street Address |
3259 CATLIN AVE |
| City | QUANTICO |
| State | VA |
| Zip Code | 22134-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001831 | Ivan Roman | Dentist | 3259 Catlin Ave, Naval Health Clinic Quantico, Quantico, VA 22134 | 2005-08-26 |
| 1558987354 | Scott Alan Bauer | Optometrist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2020-06-18 |
| 1689219214 | Caitlin Rose Morgan | Nurse Practitioner | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2019-11-07 |
| 1790329761 | Lindsay Elizabeth Jensen | Physician Assistant | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2019-11-03 |
| 1679008312 | Lien Vinh Bao Lee | Pharmacist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2017-05-01 |
| 1447703376 | Anne Sidwell | Physical Therapist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2016-07-27 |
| 1174997324 | Keith Lee Sr. | Physical Therapist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-11-25 |
| 1962880344 | Lesley Michelle Washington | Registered Nurse | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-05-18 |
| 1215314042 | Jorge Gonzalo Jara | Physician Assistant | 3259 Catlin Ave, Naval Health Clinic, Quantico, VA 22134-6050 | 2015-04-30 |
| 1144616467 | Jenna Golding | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407413065 | Elyssa Marie Salcido | Physician Assistant | Naval Heatlh Clinic Quantico, 3259 Catlin Avenue, Quantico, VA 22134 | 2019-05-20 |
| 1396277885 | Krista Lynn Greene | Optometrist | 3259 Catilin Avenue, Naval Health Clinic, Quantico, Quantico, VA 22134 | 2017-04-03 |
| 1639526593 | Kathy Olson | Social Worker | 2134 Barnett Avenue, Little Hall Lower Level, Quantico, VA 22134 | 2016-05-20 |
| 1215285788 | Laura K Goodman | Specialist/Technologist | 12081 Mason Dr, Quantico, VA 22134 | 2012-08-15 |
| 1437441706 | Danielle Michelle Lagoski | Family Medicine | 1998 Hill Ave, Quantico, VA 22134 | 2011-05-05 |
| 1639493695 | Alicia Elizabeth Heili | Specialist/Technologist | 24164 Belleau, Quantico, VA 22134 | 2010-03-19 |
| 1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
| 1194824227 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Nmc 2200 Lester Avenue, Quantico, VA 22134 | 2006-09-22 |
| 1780783811 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Quantico Nmc Attn: Third Party Billing, 3259 Catlin Ave, Quantico, VA 22134 | 2006-09-22 |
| 1548219249 | Andrew Alexander Mcbain | Chiropractor | The Basic School Ray Health Clinic, Mcb2 24008, Quantico, VA 22134 | 2006-05-09 |
| Find all providers in zip 22134 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295149 | Lux Dental Center | Dentist | 43761 Parkhurst Plz Ste 132, Ashburn, VA 20147-5470 | 2018-08-17 |
| 1710362447 | Walter Emanuel Odisho | Dentist | 3040 Williams Dr Ste 201, Fairfax, VA 22031 | 2015-07-23 |
| 1417207986 | Techkouhie Hamalian | Dentist | 1911 Fort Myer Dr, Arlington, VA 22209-1607 | 2012-09-12 |
| 1790061695 | Marjan Salari | Dentist | 6960g Bradlick Shopping Ctr # G, Annandale, VA 22003-7227 | 2011-10-24 |
| 1740582832 | Eun Hye Lee | Dentist | 1861 Explorer St, Reston, VA 20190-5665 | 2010-11-23 |
| 1184944217 | Harshit A Aggarwal | Dentist | 7630 Little River Tpke Ste 115, Annandale, VA 22003-2610 | 2010-06-11 |
| 1538493275 | Juan Eduardo Alvarez | Dentist | 21287 Southolme Way, Ashburn, VA 20147-6087 | 2009-09-29 |
| 1053543835 | Thomas S Striano | Dentist | 250 S Whiting St, Suite 116, Alexandria, VA 22304-3656 | 2009-08-13 |
| 1811121114 | Dr.s Sullivan, Kaihara & Watkins | Dentist | 6845 Elm St Ste 475, Mc Lean, VA 22101-6051 | 2009-05-14 |
| 1518108935 | Brent Lee Rigby | Dentist | 129 University Blvd Ste B, Harrisonburg, VA 22801-3751 | 2009-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.