Bob L. Harris, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5148 Issued in NC

Practice address

1 Vanderbilt Park Dr
Ste 220
Asheville, NC 28803-1736

Phone

(828) 277-2214

Fax

(828) 277-2216

NPI assigned

Oct 25, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295819159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VANDERBILT PARK DR",
            "address_2": "STE 220",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031736",
            "telephone_number": "828-277-2214",
            "fax_number": "828-277-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VANDERBILT PARK DR",
            "address_2": "STE 220",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031736",
            "telephone_number": "828-277-2214",
            "fax_number": "828-277-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BOB",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "93632",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Harrell, LCSWA
• Cheryl Kailyn Harrington, CNM
• Paige Elise Harrington, PA-C
• Judith Harris-Coleman, NP
• Angela McAllister Harris, RN
• Brandy Limbo Harris, LCSWA
• Colin Harris III, MSW
• Emily Faith Harris, LCMHCA
• Hal Clarke Harris, RPH
• Holly Draughon Harris, MS, NCC, LPC

• General Practice Dentistry in Asheville, NC
• Providers in Asheville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.