Active NPI
Roger M. Harris III DMD, PA
- General Practice Dentistry
- Greer, SC
National Provider Identifier
1023126950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3557
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 449325 | Other | UNITED CONCORDIA | |
| ZA9725 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Greer, SC
- NPI 1447692231
-
- General Practice Dentistry
- Greer, SC
- NPI 1578676698
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.