Active NPI
Chavala M. Harris, DDS, PA
- General Practice Dentistry
- Durham, NC
National Provider Identifier
1205694072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chavala Melita Harris, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & 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.