Canaan Lavelle Harris, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G1424 Issued in TX

Practice address

1315 St Joseph Pkwy Ste 1001
Houston, TX 77002-8231

Phone

(713) 658-1900

Fax

(713) 658-1971

NPI assigned

Jan 8, 2007

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1023166444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1001",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028231",
            "telephone_number": "713-658-1900",
            "fax_number": "713-658-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1001",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028231",
            "telephone_number": "713-658-1900",
            "fax_number": "713-658-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CANAAN",
        "middle_name": "LAVELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G1424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "760356749",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760356749",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035694101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "address_1": "1315 St Joseph Pkwy Ste 1001",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770028231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "address_1": "1315 St Joseph Pkwy Ste 1001",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770028231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley D Harris, LPC ASSOCIATE
• Bobbie A. Harris, FNP
• Breanda Harris, RN
• Brittany Harris, LE
• Brittany Nicole Harris, LPC-A
• Carmen Harris
• Chelsea Harris
• Christina Harris
• Ciera Harris, M.ED, LPC
• Dale Edward Harris, RPH

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.