Organization Active NPI

Roger M. Harris III DMD, PA

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1023126950
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3557 Issued in SC
Legal business name
ROGER M. HARRIS III DMD, PA
Practice address
920 S. Batesville Road
Greer, SC 29650-4524
Phone
(864) 877-9111
Fax
(864) 877-9195
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Roger Marvin Harris III III, DMD
Title
Dentist/Owner
Phone
(864) 877-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3557 SC Primary

Addresses

Primary practice location

920 S. Batesville Road
Greer, SC 29650-4524

Mailing address

920 S. Batesville Road
Greer, SC 29650-4524
Phone (864) 877-9111

Other identifiers 2

IdentifierTypeStateIssuer
449325OtherUNITED CONCORDIA
ZA9725MedicaidSC

National Provider Directory

National Provider Directory

Locations

920 S Batesville Rd
Greer, SC 29650
Phone (864) 877-9111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1023126950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S. BATESVILLE ROAD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504524",
            "telephone_number": "864-877-9111",
            "fax_number": "864-877-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S. BATESVILLE ROAD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504524",
            "telephone_number": "864-877-9111",
            "fax_number": "864-877-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER M. HARRIS III DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS III",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "864-877-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "449325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9725",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.