Active NPI
Najee Harris, DMD
- General Practice Dentistry
- Champaign, IL
National Provider Identifier
1306405303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019032134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190821003056 | IL | Order and Referring Only - Dentist | 2062740541 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123421 | GA | MD | General Practice Dentistry |
| 019032134 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Illinois, P.C. | Dentist | Current | Accepting new patients |
| Dental Professionals of Illinois, P.C. | General Practice | Past | Accepting new patients |
| Creating Smiles LLC | Past | Accepting new patients |
Locations
101 United Dr
Ste 150
Collinsville, IL 62234
Phone (618) 345-7676
Interoperability endpoints
- 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.
-
- Dentist
- Collinsville, IL
- NPI 1235876814
-
- Durable Medical Equipment & Medical Supplies
- Collinsville, IL
- NPI 1083152243
-
- General Practice Dentistry
- Champaign, IL
- NPI 1114149473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.