NPIMap

Organization Active NPI

Harris I Mann DMD LLC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1235297995
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS025302L Issued in PA
Legal business name
HARRIS I MANN DMD LLC
Practice address
11621 Bustleton Ave
Philadelphia, PA 19116-2513
Phone
(215) 673-8887
Fax
(215) 673-9680
NPI assigned
Dec 5, 2006
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Harris I Mann, D.M.D.
Title
Owner
Phone
(215) 673-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS025302L PA Primary

Addresses

Primary practice location

11621 Bustleton Ave
Philadelphia, PA 19116-2513

Mailing address

11621 Bustleton Ave
Philadelphia, PA 19116-2513
Phone (215) 673-8887

Other identifiers 1

IdentifierTypeStateIssuer
447171OtherPAUCCI

Other names 1

  • Harris I Mann DMD & Associates Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1235297995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162513",
            "telephone_number": "215-673-8887",
            "fax_number": "215-673-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162513",
            "telephone_number": "215-673-8887",
            "fax_number": "215-673-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS I MANN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-673-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025302L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "447171",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris I Mann DMD & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.