Julie M Harris, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7959 Issued in KY

Practice address

3101 Breckenridge LN
Ste 2D
Louisville, KY 40220-2742

Phone

(502) 459-8012

Fax

(502) 459-8021

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greater Louisville Oral and Maxillofacial Surgery Associates, PSC

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1649271263
  NPD (past)
• Kentucky Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1790575736
  NPD (past)
• Suburban Oral Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Havertown, PA
  • NPI 1952356073
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1154322683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN",
            "address_2": "STE 2D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202742",
            "telephone_number": "502-459-8012",
            "fax_number": "502-459-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRECKENRIDGE LN",
            "address_2": "STE 2D",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202742",
            "telephone_number": "502-459-8012",
            "fax_number": "502-459-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "7959",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "7959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50002288",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - DENTAL",
            "identifier": "60002508",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64073760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Lynn Harris, APRN
• John S Harris, MD
• Jordan Harris, OT
• Joy Harris, CCC-SLP
• Juan R Harris Sr., C.O.T.A./L
• Kara Elizabeth Harris, APRN
• Karpreace Harris
• Kristin Harris
• Kristin Janell Harris, D.M.D.
• Kristine Mary Harris, COTA/L

• Oral and Maxillofacial Surgery (Dentist) in Louisville, KY
• Providers in Louisville, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.