Charles E. Harris DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005520 Issued in VA

Legal business name

CHARLES E. HARRIS DDS, PC

Practice address

210 Professional Park Dr SE
Suite 11
Blacksburg, VA 24060-6680

Phone

(540) 951-3989

Fax

(540) 951-0273

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edward Harris, DDSNPI 1801935721

Title

President

Phone

(540) 951-3989

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Edward Harris, D.D.S.

  • General Practice Dentistry
  • Blacksburg, VA
  • NPI 1801935721
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326259367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 11",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606680",
            "telephone_number": "540-951-3989",
            "fax_number": "540-951-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 11",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606680",
            "telephone_number": "540-951-3989",
            "fax_number": "540-951-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. HARRIS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-951-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "067063",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristen Chang, MS, RDN
• Aliya Razvi Chapman, PH.D., LCP.
• Kanitta Charoensiri, D.O.
• Laura Mae Cherry, MS CCC SLP
• Gabriel Ryan Chester, EMT-B
• Wendy Chinn, LPC
• Patty Anne Chitwood, MD

• General Practice Dentistry in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.