DR. MARY KATHLEEN HARRELL DMD
NPI 1083640007
Dentist - General Practice in Grants Pass, OR
About Dr. Mary Kathleen Harrell Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY KATHLEEN HARRELL DMD (NPI 1083640007) is an individual general practice provider in Grants Pass, Oregon, licensed in Idaho (9161076) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mary Kathleen Harrell Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Harrell's NPI number?
The NPI number for Mary Harrell is 1083640007. It was assigned to this individual provider in the NPPES registry on June 23, 2006. The provider is also known as Dr. Mary Kathleen Kimball Dmd.
Where is Mary Harrell located?
Mary Harrell practices at 1519 NE F St, Grants Pass, OR 97526. The listed phone number is (542) 240-5678.
What is Mary Harrell's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mary Harrell enrolled in Medicare?
Yes. Mary Harrell is registered in the Medicare PECOS enrollment system.
What insurance does Mary Harrell accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Mary Harrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Harrell was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mary Kathleen Harrell, DMD · NPI 1083640007
General Practice provider in Grants Pass, Oregon. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1083640007 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 9161076 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1519 NE F ST, Grants Pass, OR 97526-4234
- **Phone:** (542) 240-5678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083640007) · Data from the CMS NPPES public registry.