Individual provider Active NPI

Joel Trion Harris, DDS

  • Dentist
  • Hammond, LA
National Provider Identifier
1063449684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LA3966 Issued in LA
Practice address
1403 Derek Dr
Hammond, LA 70403-5768
Phone
(985) 345-5856
Fax
(985) 345-5856
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LA3966 LA Primary

Addresses

Primary practice location

1403 Derek Dr
Hammond, LA 70403-5768

Mailing address

1403 Derek Dr
Hammond, LA 70403-5768
Phone (985) 345-5856

Other names 1

  • Dr. Jolie Trion Harris Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124000225 LA Order and Referring Only - DentistPractitioner - Dentist 3072813070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LA3966LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063449684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 DEREK DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035768",
            "telephone_number": "985-345-5856",
            "fax_number": "985-345-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 DEREK DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035768",
            "telephone_number": "985-345-5856",
            "fax_number": "985-345-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOEL",
        "middle_name": "TRION",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "LA3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIE",
            "last_name": "HARRIS",
            "middle_name": "TRION",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.