Individual provider Active NPI

Suzan Vannella Harris, DDS

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1043418825
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23157 Issued in TX
Practice address
1401 Medical Pkwy Ste 404
Cedar Park, TX 78613-7763
Phone
(512) 215-4350
Fax
(512) 647-6367
NPI assigned
Jul 3, 2007
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23157 TX Primary

Addresses

Primary practice location

1401 Medical Pkwy Ste 404
Cedar Park, TX 78613-7763

Mailing address

2300 E Rancier Ave Ste 110
Killeen, TX 76543-3450
Phone (254) 781-8177

Other practice location 1

2300 E Rancier Ave
Suite 110
Killeen, TX 76543
Phone (254) 781-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226003164 TX Practitioner - DentistPractitioner - Sleep Medicine 1456775535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Sleep Medicine
Education
Indiana University School of Dentistry, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1401 Medical Pkwy
Suite 410
Cedar Park, TX 78613-5015
Phone (512) 215-4350

4009 Banister LN
Suite 370
Austin, TX 78704-0177

4009 Banister LN
Suite 370
Austin, TX 78704-7040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23157TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Austin Treatment PLLC CurrentSince Jan 12, 2026 Accepting new patients
Sleep Better Austin Treatment, PLLC CurrentSince Jan 12, 2026 Accepting new patients
Austin Sleep Wellness LLC CurrentSince Apr 29, 2020 Accepting new patients
Sleep Better Austin Treatment, PLLC PastSince Apr 18, 2025 Accepting new patients
Sleep Better Austin Treatment PLLC PastSince Apr 18, 2025 Accepting new patients
Sleep Better Austin Treatment PLLC PastSince Apr 18, 2025 Accepting new patients
Smiles of Round Rock PA General Practice Past Accepting new patients
Sleep Better Austin Treatment PLLC PastSince Apr 18, 2025 Accepting new patients
Brident Dental Associates PC PastSince Mar 16, 2021 Accepting new patients
Sleep Better Austin Treatment PLLC PastSince Apr 18, 2025 Accepting new patients

Locations

4009 Banister Ln
Ste 370
Austin, TX 78704
Phone 5122154350402

5920 W William Cannon Dr
Bldg 6
Austin, TX 78749
Phone (512) 336-8909

1401 Medical Pkwy
Ste 410
Cedar Park, TX 78613
Phone (512) 260-3636

2300 E Rancier Ave
Ste 110
Killeen, TX 76543
Phone (254) 630-1458

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1043418825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E RANCIER AVE STE 110",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765433450",
            "telephone_number": "254-781-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 404",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137763",
            "telephone_number": "512-215-4350",
            "fax_number": "512-647-6367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 E Rancier Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "76543",
            "country_code": "US",
            "telephone_number": "254-781-8177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SUZAN",
        "middle_name": "VANNELLA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.