Jay Jason Harris, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

G10001169 Issued in DE

Practice address

220 Christiana Medical Center
Newark, DE 19702-1652

Phone

(302) 453-1400

Fax

(302) 453-9553

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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 DE

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

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.

• Jay J Harris DMD PC

  • Dentist
  • Newark, DE
  • NPI 1699814673
  NPD (past) Authorized official
• More About You Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
  • NPI 1801373253
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174673800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHRISTIANA MEDICAL CENTER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021652",
            "telephone_number": "302-453-1400",
            "fax_number": "302-453-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHRISTIANA MEDICAL CENTER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021652",
            "telephone_number": "302-453-1400",
            "fax_number": "302-453-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAY",
        "middle_name": "JASON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Harper
• Michele Harrington, RNFA
• Allen Ray Harris, LPCMHC
• Cathryne Lee Kionke Harris, D.M.D.
• Charles S. Harris, MD
• Kenneth Harris
• Madison Harris, DO
• Mark Harris, MD
• Tasha Harris
• Alexis Chon Harrison, FNP

• Dentist in Newark, DE
• Providers in Newark, DE by specialty
• Dentist in Delaware

• 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.
• 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.