Active NPI
Robert C Harris, DDS
- General Practice Dentistry
- Olympia, WA
National Provider Identifier
1194860841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6413
- Practice address
- 2616 Yelm Hwy SE
Suite B
Olympia, WA 98501-0800 - Phone
- (360) 357-8000
- Fax
- (360) 357-0068
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6413 | WA | |
| General Practice Dentistry | 1223G0001X | 6413 | WA | Primary |
Addresses
Primary practice location
2616 Yelm Hwy SE
Suite B
Olympia, WA 98501-0800
Mailing address
2616 Yelm Hwy SE
Suite B
Olympia, WA 98501-0800
Phone (360) 357-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911544771 | Other | WA | TAX ID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6413 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Family and Cosmetic Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Olympia, WA
- NPI 1437605235
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": "1756080000000",
"number": "1194860841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 YELM HWY SE",
"address_2": "SUITE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985010800",
"telephone_number": "360-357-8000",
"fax_number": "360-357-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 YELM HWY SE",
"address_2": "SUITE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985010800",
"telephone_number": "360-357-8000",
"fax_number": "360-357-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "6413",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "6413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "911544771",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.