Active NPI
Gregory Mark Harris
- Home Modifications Contractor
- Warrenton, VA
National Provider Identifier
1083864334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 2705 012901
- Practice address
- 6248 Ghadban CT
Warrenton, VA 20187-7945 - Phone
- (703) 887-0072
- Fax
- (540) 428-3724
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 2705 012901 | VA | Primary |
Addresses
Primary practice location
6248 Ghadban CT
Warrenton, VA 20187-7945
Mailing address
PO Box 480
Marshall, VA 20116-0480
Phone (703) 887-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2705 012901 | VA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1083864334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480",
"city": "MARSHALL",
"state": "VA",
"postal_code": "201160480",
"telephone_number": "703-887-0072",
"fax_number": "540-428-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6248 GHADBAN CT",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201877945",
"telephone_number": "703-887-0072",
"fax_number": "540-428-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "GREGORY",
"middle_name": "MARK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "VA",
"license": "2705 012901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.