Individual provider Active NPI

Anya Marie Harris

  • General Practice Dentistry
  • Flint, MI
National Provider Identifier
1164962015
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022385 Issued in MI
Practice address
2900 N Saginaw St
Flint, MI 48505
Phone
(810) 406-4246
NPI assigned
Feb 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 2901022385 MI Primary

Addresses

Primary practice location

2900 N Saginaw St
Flint, MI 48505

Mailing address

2900 N Saginaw St
Flint, MI 48505-4452
Phone (810) 406-4246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20221027003151 MI Practitioner - Dentist 2567839996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901022385MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network, Inc. CurrentSince Oct 25, 2022 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Oct 25, 2022 Accepting new patients
Detroit Health Care for the Homeless Past Accepting new patients

Locations

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

Organizations & group practices 3

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": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1164962015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485054452",
            "telephone_number": "810-406-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48505",
            "telephone_number": "810-406-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANYA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.