NPIMap

Organization Active NPI

W Kelly Harris

  • General Practice Dentistry
  • Asheboro, NC
National Provider Identifier
1053514992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5150 Issued in NC
Legal business name
W KELLY HARRIS
Practice address
307A Foust St
Asheboro, NC 27203-5405
Phone
(336) 625-4137
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wade Kelly Harris, DDSNPI 1598848806
Title
Dr.
Phone
(336) 629-4137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5150 NC Primary

Addresses

Primary practice location

307A Foust St
Asheboro, NC 27203-5405

Mailing address

307A Foust St
Asheboro, NC 27203-5405
Phone (336) 625-4137

National Provider Directory

National Provider Directory

Locations

307 Foust St
Ste A
Asheboro, NC 27203
Phone (336) 625-4137

Practitioners & affiliated clinicians

Practitioners 1

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053514992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307A FOUST ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035405",
            "telephone_number": "336-625-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307A FOUST ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035405",
            "telephone_number": "336-625-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W KELLY HARRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "336-629-4137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.