Tiffany Ann Harris, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30-022219 Issued in OH

Practice address

5138 Cedar Village Dr
Mason, OH 45040-3717

Phone

(513) 336-8100

Fax

(513) 336-8101

NPI assigned

Apr 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Master of Science

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316163082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-336-8100",
            "fax_number": "513-336-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 CEDAR VILLAGE DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403717",
            "telephone_number": "513-336-8100",
            "fax_number": "513-336-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30-022219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Richard Harris, PT, DPT
• Holly Nicole Harris, PH.D.
• Nile Nefertari Harris, LPN
• Ryan Gregory Harris, DMD, MS
• Teresa Lynn Harris
• Jessica C Hartman, LISW
• Monica Hurtubise Hartman, M.D.
• Janel Roberta Hartmann
• William Paul Hartmann III, MD
• Lydia Hartzler, L.P.C.

• Periodontics in Mason, OH
• Providers in Mason, OH by specialty
• Periodontics in Ohio

• 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.