DR. SANDY HARMON DDS
NPI 1598748568
Dentist - General Practice in Philadelphia, PA

Active since November 23, 2005PECOS Enrolled
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130(215) 235-9600(215) 232-4093 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sandy Harmon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANDY HARMON DDS (NPI 1598748568) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS035921) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598748568
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SANDY HARMONCredential: DDS
Location Address1412 FAIRMOUNT AVEPhiladelphia, PA 19130-2908
Mailing Address1412 Fairmount AvePhiladelphia, PA 19130-2908 · (215) 599-4851 · Fax (215) 232-4093
Fax(215) 232-4093
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1598748568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS035921
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1412 FAIRMOUNT AVE, Philadelphia, PA 19130

Other Names 1

Former Name (1)Sandy Elise Maynard Dds

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandy Harmon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sandy Harmon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1412-22 FAIRMOUNT AVE
Philadelphia, PA 19130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Nurse Practitioner (Primary Care)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Physician Assistant
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine (Adult Medicine)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker (Clinical)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130

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 Sandy Harmon's NPI number?

The NPI number for Sandy Harmon is 1598748568. It was assigned to this individual provider in the NPPES registry on November 23, 2005. The provider is also known as Sandy Elise Maynard Dds.

Where is Sandy Harmon located?

Sandy Harmon practices at 1412 Fairmount Ave, Philadelphia, PA 19130. The listed phone number is (215) 235-9600.

What is Sandy Harmon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sandy Harmon enrolled in Medicare?

Yes. Sandy Harmon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandy Harmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Harmon reassigns Medicare benefits to Delaware Valley Community Health, Inc. (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandy Harmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandy Harmon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, BEST Life and Blue Cross and Blue Shield of Montana and 10 other insurers list Sandy Harmon 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 Sandy Harmon was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.