Jessica Chanel Harris, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3967-17 Issued in MS

Practice address

2650 Beach Blvd
Biloxi, MS 39531-4517

Phone

(228) 273-1691

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• LA PPO C-SNP

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1063921765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 S POST OAK AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318415",
            "telephone_number": "504-460-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BEACH BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314517",
            "telephone_number": "228-273-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JESSICA",
        "middle_name": "CHANEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3967-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alita R Harmon, LCSW
• Tanya Talbot Harmon, PHARMD
• Marquette Harper
• Hayden Harrell
• Martha Kayel Harrington, NP
• Linda Harris, OT
• Robert Harris, CRNA
• Whitney Harris
• Harrison County Hma Physician Management Inc
• Harrison Emergency Group LLC

• General Practice Dentistry in Biloxi, MS
• Providers in Biloxi, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.