Active NPI
Robert Harris Daniel Jr., DDS
- Dentist
- McLeansville, NC
National Provider Identifier
1306964903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4477
- Practice address
- 5706 McLeansville Rd
McLeansville, NC 27301 - Phone
- (336) 697-0618
- Fax
- (336) 697-9478
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4477 | NC | Primary |
Addresses
Primary practice location
5706 McLeansville Rd
McLeansville, NC 27301
Mailing address
PO Box 10
5706 McLeansville Rd
McLeansville, NC 27301
Phone (336) 697-0618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4477 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R. Harris Daniel, D.D.S. | Dentist | Past | Accepting new patients |
| Fuller & Associates II, P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- McLeansville, NC
- NPI 1386850188
-
dba McLeansville Family & Cosmetic Dentistry
- General Practice Dentistry
- McLeansville, NC
- NPI 1770042368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306964903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"address_2": "5706 MCLEANSVILLE RD",
"city": "MCLEANSVILLE",
"state": "NC",
"postal_code": "27301",
"telephone_number": "336-697-0618",
"fax_number": "336-697-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 MCLEANSVILLE RD",
"city": "MCLEANSVILLE",
"state": "NC",
"postal_code": "27301",
"telephone_number": "336-697-0618",
"fax_number": "336-697-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "ROBERT",
"middle_name": "HARRIS",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "4477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLeansville, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.