Individual provider Active NPI

David S Harris, D.D.S.

  • General Practice Dentistry
  • Keller, TX
National Provider Identifier
1104112135
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27061 Issued in TX
Practice address
1760 Rufe Snow Dr
Keller, TX 76248-5628
Phone
(817) 498-3889
Fax
(817) 281-2810
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27061 TX Primary

Addresses

Primary practice location

1760 Rufe Snow Dr
Keller, TX 76248-5628

Mailing address

1760 Rufe Snow Dr
Keller, TX 76248-5628
Phone (817) 498-3889

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

LicenseStateTypeSpecialty
27061TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Mda, PLLC CurrentSince May 31, 2020 Accepting new patients
Payne & Boatner DDS PC Past Accepting new patients

Locations

1700 Country Club Dr
Mansfield, TX 76063
Phone (817) 473-6227

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1104112135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485628",
            "telephone_number": "817-498-3889",
            "fax_number": "817-281-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RUFE SNOW DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485628",
            "telephone_number": "817-498-3889",
            "fax_number": "817-281-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.