Active NPI
Manuel C Harris, D.P.M.
- Podiatrist
- Jamestown, ND
National Provider Identifier
1326021882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 008
- Practice address
- 2422 20TH St SW
Jamestown, ND 58401-6201 - Phone
- (701) 252-1050
- Fax
- (701) 952-3265
- NPI assigned
- Nov 29, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 008 | ND | Primary |
Addresses
Primary practice location
2422 20TH St SW
Jamestown, ND 58401-6201
Mailing address
2422 20TH St SW
Jamestown, ND 58401-6201
Phone (701) 252-1050
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2740001 | Other | MEDICA | |
| 480012093 | Other | MEDICARE RR PIN | |
| 11842 | Other | ND | ND BLUE SHIELD |
| HP20791 | Other | HEALTH PARTNERS | |
| 13469 | Medicaid | ND | |
| 449161007917 | Other | PREFERRED ONE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008 | ND | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1326021882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 20TH ST SW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584016201",
"telephone_number": "701-252-1050",
"fax_number": "701-952-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 20TH ST SW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584016201",
"telephone_number": "701-252-1050",
"fax_number": "701-952-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MANUEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ND",
"license": "008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2740001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PIN",
"identifier": "480012093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND BLUE SHIELD",
"identifier": "11842",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP20791",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13469",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "449161007917",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.