Individual provider Active NPI

Harris Malik, DDS

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1205768116
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401420028 Issued in VA
Practice address
24 E Cary St
Richmond, VA 23219-3733
Phone
(804) 783-2505
NPI assigned
Jun 3, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401420028 VA Primary

Addresses

Primary practice location

24 E Cary St
Richmond, VA 23219-3733

Mailing address

517 W Grace St
Richmond, VA 23220-4911
Phone (804) 783-2505

Other practice location 1

180 E Belt Blvd
Richmond, VA 23224-1204
Phone (804) 292-3011

Other practice location 2

517 W Grace St
Richmond, VA 23220-4911
Phone (804) 783-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401420028VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1205768116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W GRACE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204911",
            "telephone_number": "804-783-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193733",
            "telephone_number": "804-783-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Belt Blvd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232241204",
            "country_code": "US",
            "telephone_number": "804-292-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 W Grace St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232204911",
            "country_code": "US",
            "telephone_number": "804-783-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401420028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.