Brian Timothy Harris, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18321 Issued in TX

Practice address

2921 N. Heritage Pkwy
Suite 100
Sherman, TX 75092

Phone

(903) 892-1200

Fax

(903) 813-1581

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Dental Specialists, PA

  • Pediatric Dentistry
  • Sherman, TX
  • NPI 1154326486
  NPD (past) Authorized official

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1255337606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 N. HERITAGE PKWY",
            "address_2": "SUITE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-892-1200",
            "fax_number": "903-813-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 N. HERITAGE PKWY",
            "address_2": "SUITE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-892-1200",
            "fax_number": "903-813-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRIAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093916-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "85D916",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "750920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Hansen, DDS
• Robert E Hanson, PH. D
• Brandi Lynn Harbin, LVN
• Misty Elaine Harman, LPC ASSOCIATE
• Preston Harmon, M.D.
• Deohndra Harris
• Gary Zane Harris, D.D.S.
• Gerica Harris, LVN
• Jeffrey B. Harris, O.D.
• Nan C Harris, P.T.

• Pediatric Dentistry in Sherman, TX
• Providers in Sherman, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.