Individual provider Active NPI

Najee Harris, DMD

  • General Practice Dentistry
  • Champaign, IL
National Provider Identifier
1306405303
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019032134 Issued in IL
Practice address
1905 Convenience PL Ste a
Champaign, IL 61820-8927
Phone
(217) 355-5165
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032134 IL Primary
General Practice Dentistry 1223G0001X DN123421 GA

Addresses

Primary practice location

1905 Convenience PL Ste a
Champaign, IL 61820-8927

Mailing address

5193 Peachtree Blvd Apt 1430
Chamblee, GA 30341-2859
Phone (312) 498-6764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20190821003056 IL Order and Referring Only - DentistPractitioner - Dentist 2062740541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN123421GAMDGeneral Practice Dentistry
019032134ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Illinois, P.C. Dentist CurrentSince Mar 30, 2025 Accepting new patients
Dental Professionals of Illinois, P.C. General Practice PastSince Nov 7, 2025 Accepting new patients
Creating Smiles LLC PastSince Mar 30, 2025 Accepting new patients

Locations

101 United Dr
Ste 150
Collinsville, IL 62234
Phone (618) 345-7676

Interoperability endpoints

  • Direct secure messaging: najee.harris.p29@direct.fhn-fqhc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1306405303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5193 PEACHTREE BLVD APT 1430",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412859",
            "telephone_number": "312-498-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CONVENIENCE PL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618208927",
            "telephone_number": "217-355-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "NAJEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032134",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.