Individual provider Active NPI

Meka B Z Harris, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ocean, NJ
National Provider Identifier
1114062940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DI 020764 Issued in NJ
Practice address
804 W Park Ave
Ocean Orthodontics Building a
Ocean, NJ 07712-7272
Phone
(732) 493-4747
Fax
(732) 493-4742
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DI 020764 NJ Primary

Addresses

Primary practice location

804 W Park Ave
Ocean Orthodontics Building a
Ocean, NJ 07712-7272

Mailing address

804 W Park Ave
Ocean Orthodontics Building a
Ocean, NJ 07712-7272
Phone (732) 493-4747

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
DI 020764NJMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114062940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W PARK AVE",
            "address_2": "OCEAN ORTHODONTICS BUILDING A",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127272",
            "telephone_number": "732-493-4747",
            "fax_number": "732-493-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W PARK AVE",
            "address_2": "OCEAN ORTHODONTICS BUILDING A",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127272",
            "telephone_number": "732-493-4747",
            "fax_number": "732-493-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MEKA",
        "middle_name": "B Z",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI 020764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.