Active NPI
Duane Jones Harris, M.D.
- Allergy & Immunology Physician
- Draper, UT
National Provider Identifier
1275535411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 87-176213-1205
- Practice address
- 12422 S 450 E
Ste C
Draper, UT 84020-5645 - Phone
- (801) 553-1900
- Fax
- (801) 553-9995
- NPI assigned
- Jun 1, 2005
- Last updated
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 87-176213-1205 | UT | Primary |
Addresses
Primary practice location
12422 S 450 E
Ste C
Draper, UT 84020-5645
Mailing address
12422 S 450 E
Ste C
Draper, UT 84020-5645
Phone (801) 553-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030002848 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87-176213-1205 | UT | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Allergy & Immunology Clinic | Allergy & Immunology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Draper, UT
- NPI 1598009136
-
dba Intermountain Allergy & Asthma
- Allergy & Immunology Physician
- Draper, UT
- NPI 1215030325
-
dba Intermountain Allergy & Asthma
- Allergy & Immunology Physician
- Salt Lake City, UT
- NPI 1972606036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1275535411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12422 S 450 E",
"address_2": "STE C",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205645",
"telephone_number": "801-553-1900",
"fax_number": "801-553-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12422 S 450 E",
"address_2": "STE C",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205645",
"telephone_number": "801-553-1900",
"fax_number": "801-553-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DUANE",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "UT",
"license": "87-176213-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "030002848",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.