David Randy Harris, C.O.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO001692 Issued in MD

Practice address

14300 Cherry Lane CT
Suite 213
Laurel, MD 20707-4958

Phone

(301) 776-5200

Fax

(301) 776-4480

NPI assigned

Oct 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Access Ability Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Laurel, MD
  • NPI 1982671640
  NPD Authorized official

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1295287357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 CHERRY LANE CT",
            "address_2": "SUITE 213",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074958",
            "telephone_number": "301-776-5200",
            "fax_number": "301-776-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 CHERRY LANE CT",
            "address_2": "SUITE 213",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074958",
            "telephone_number": "301-776-5200",
            "fax_number": "301-776-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "RANDY",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MD",
            "license": "CO001692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christyn Harper
• Knekiya Harper
• Harris Teeter LLC
• Chandra Nicole Harris-Jackson, LCSW-C
• Danielle Harris, SLP-A
• Lashea Harris, LCSW-C
• Dana Lynn Harrison
• Hartjen Spine Care, P.a.
• Doris Hashim-Cole
• Ronald Geoffrey Havelock, O.D.

• Prosthetics Case Management in Laurel, MD
• Providers in Laurel, MD by specialty
• Prosthetics Case Management in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.