Kevin M. Harris DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3949 Issued in AZ

Legal business name

KEVIN M. HARRIS DDS, PLLC

Practice address

7201 E Camelback Rd
Suite 105
Scottsdale, AZ 85251-3325

Phone

(480) 423-3161

Fax

(480) 423-8240

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Jean Richards

Title

Business Manager

Phone

(480) 595-5966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184746604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 E CAMELBACK RD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513325",
            "telephone_number": "480-423-3161",
            "fax_number": "480-423-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 E CAMELBACK RD",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513325",
            "telephone_number": "480-423-3161",
            "fax_number": "480-423-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M. HARRIS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-595-5966"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.