Individual provider Active NPI

Heather Kathleen Harris, D.D.S.

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1316063431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7900 Issued in CO
Practice address
201 University Blvd
Suite 203
Denver, CO 80206-4657
Phone
(303) 393-0039
Fax
(303) 393-0928
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7900 CO Primary

Addresses

Primary practice location

201 University Blvd
Suite 203
Denver, CO 80206-4657

Mailing address

201 University Blvd
Suite 203
Denver, CO 80206-4657
Phone (303) 393-0039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150504001268 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779802392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7900COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316063431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY BLVD",
            "address_2": "SUITE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064657",
            "telephone_number": "303-393-0039",
            "fax_number": "303-393-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY BLVD",
            "address_2": "SUITE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064657",
            "telephone_number": "303-393-0039",
            "fax_number": "303-393-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HEATHER",
        "middle_name": "KATHLEEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.