Matthew Harris DMD Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATTHEW HARRIS DMD PROFESSIONAL CORPORATION

Practice address

11010 Combie Rd Ste 208
Auburn, CA 95602-8948

Phone

(530) 268-1445

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Harris, DMDNPI 1285989996

Title

President

Phone

(916) 415-8551

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Matthew William Harris, DMD

  • Dentist
  • Granite Bay, CA
  • NPI 1285989996
  NPD Authorized official
• David Gregory Molina, DDS

  • General Practice Dentistry
  • Auburn, CA
  • NPI 1427183862
  NPD (past)

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1053934273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 BAYBERRY LN",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488245",
            "telephone_number": "916-415-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 COMBIE RD STE 208",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028948",
            "telephone_number": "530-268-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW HARRIS DMD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-415-8551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Massetti
• Nancy C Masterson
• Julio Cesar Mata, DDS
• Robert Mathews, LMFT
• Nitin Mathur, M.D.
• Amanda Mary Matz, D.P.M.
• Kevin S Maxwell, MD
• Daniel Mayen Jr.
• Thomas Edward Mays Sr., NRDT
• Morteza Mazloom, D.D.S

• Dental Clinic/Center in Auburn, CA
• Providers in Auburn, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.