Stephen Arthur Harris, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37439 Issued in NY

Practice address

1735 Central Ave
Suite 105
Albany, NY 12205-4758

Phone

(518) 869-9453

Fax

(518) 869-9837

NPI assigned

Feb 7, 2007

Last updated

Apr 20, 2017By the provider in NPPES

Sex

Male

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1104966365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054758",
            "telephone_number": "518-869-9453",
            "fax_number": "518-869-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054758",
            "telephone_number": "518-869-9453",
            "fax_number": "518-869-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHEN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "37439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishara Rebecca Harris, LMHC
• Karen Eileen Harris, MS CCC SLP
• Laurie Anne Harris, BS RN CDE
• Melissa D'Andrea Harris, CERTIFIED DOULA
• Shannon Leigh Harris, CCC-SP NYSLSP
• Zairah Harris
• Amanda J Harrison, CRNA
• Christopher R Harrison, SRNA
• Dorothy A Harrison, MS/OT
• Kimberly Harrison, NP

• General Practice Dentistry in Albany, NY
• Providers in Albany, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.