Active NPI
Daniel K Harris, MD
- Family Medicine Physician
- Silverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD19927
- Practice address
- 342 Fairview St
Silverton, OR 97381-1917 - Phone
- (503) 873-1578
- Fax
- (503) 873-1534
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD19927 | OR | Primary |
Addresses
Primary practice location
342 Fairview St
Silverton, OR 97381-1917
Mailing address
342 Fairview St
Silverton, OR 97381-1917
Phone (503) 873-1578
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082292 | Medicaid | OK | |
| M263501 | Other | PACIFIC SOURCE |
Other names 1
- Daniel Edward Kimball
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660
Hospital & facility affiliations
- Lumina Hospice and Palliative Care
- Legacy Silverton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.41 of 100
- Quality
- 88.83
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Family Medicine | Current | Accepting new patients |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients |
Locations
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Urgent Care Clinic/Center
- Woodburn, OR
- NPI 1679631683
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Corvallis, OR
- NPI 1164429817
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1285723726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 FAIRVIEW ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973811917",
"telephone_number": "503-873-1578",
"fax_number": "503-873-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 FAIRVIEW ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973811917",
"telephone_number": "503-873-1578",
"fax_number": "503-873-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DANIEL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD19927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082292",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "M263501",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "KIMBALL",
"middle_name": "EDWARD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.