Organization Active NPI

Chavala M. Harris, DDS, PA

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1205694072
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHAVALA M. HARRIS, DDS, PA
Practice address
103 Ganyard Farm Way
Durham, NC 27703-6230
Phone
(919) 957-2444
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Chavala Melita Harris, DDSNPI 1457671786
Title
Owner
Phone
(336) 671-2312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

103 Ganyard Farm Way
Durham, NC 27703-6230

Mailing address

1445 Springvale Hill Dr
Kernersville, NC 27284-4095
Phone (336) 671-2312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1205694072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 SPRINGVALE HILL DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272844095",
            "telephone_number": "336-671-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GANYARD FARM WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036230",
            "telephone_number": "919-957-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVALA M. HARRIS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHAVALA",
        "authorized_official_middle_name": "MELITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-671-2312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.