Individual provider Active NPI

David Paul Harries, MD

  • Interventional Pain Medicine Physician
  • Watford City, ND
National Provider Identifier
1104924109
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
210437 Issued in AK
Practice address
709 4TH Ave NE
Pain Management Clinic
Watford City, ND 58854-7628
Phone
(701) 842-3000
NPI assigned
Sep 21, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 37745 KY
Interventional Pain Medicine Physician 208VP0014X 210437 AK Primary
Interventional Pain Medicine Physician 208VP0014X 21630 ND
Interventional Pain Medicine Physician 208VP0014X 01081532A IN

Addresses

Primary practice location

709 4TH Ave NE
Pain Management Clinic
Watford City, ND 58854-7628

Mailing address

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

Other identifiers 4

IdentifierTypeStateIssuer
00188001OtherKYMEDICARE PTAN
300022878MedicaidIN
64070550MedicaidKY
IN4081001OtherINMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241017003526 ND Practitioner - Pain Management 1052304599 Reassigns benefits to 3 organizations
I20241212002272 WI Practitioner - Pain ManagementPractitioner - Interventional Pain Management 1052304599

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie County Healthcare Systems IncGroup PAC ID 5890768006, shared by 5 NPIs, 63 clinicians

Practice addresses (Care Compare)

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
94.88
Promoting interoperability
100
Improvement activities
40
Cost
79.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37745KYMDInterventional Pain Medicine Physician
21630NDMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Multi-Specialty CurrentSince Oct 14, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Jul 1, 2025 Accepting new patients
Altru Health System CurrentSince Oct 14, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
McKenzie County Healthcare Systems Inc Multi-Specialty Current Accepting new patients
McKenzie County Healthcare Systems Inc Multi-Specialty Past Accepting new patients
Altru Health System Multi-Specialty Past Accepting new patients
McKenzie County Healthcare Systems Inc Multi-Specialty Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Multi-Specialty Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
Pain Care, PLLC Multi-Specialty Past Accepting new patients

Locations

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

4440 S Washington St
Grand Forks, ND 58201
Phone (701) 732-7000

4440 S Washington St
#13
Grand Forks, ND 58201

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

525 N Main St
Watford City, ND 58854
Phone (701) 842-3771

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470

Interoperability endpoints

  • Direct secure messaging: dharries53763@benefishs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHJHBA
  • Direct secure messaging: pharries206619@direct.deaconess.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1104924109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 4TH AVE NE",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547628",
            "telephone_number": "701-842-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 4TH AVE NE",
            "address_2": "PAIN MANAGEMENT CLINIC",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547628",
            "telephone_number": "701-842-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIES",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "37745",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AK",
            "license": "210437",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ND",
            "license": "21630",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01081532A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00188001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300022878",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64070550",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN4081001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watford City, ND

Sources for this page

Verify at the official NPI Registry.