Organization Active NPI

Kim E. Harris, D.D.S., P.C.

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1336218601
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009550 Issued in IN
Legal business name
KIM E. HARRIS, D.D.S., P.C.
Practice address
6225 W 56TH St
Suite 100
Indianapolis, IN 46254-7603
Phone
(317) 293-3300
Fax
(317) 293-3437
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Kim Harris, D.D.S.NPI 1225117989
Title
Owner
Phone
(317) 273-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12009550 IN Primary

Addresses

Primary practice location

6225 W 56TH St
Suite 100
Indianapolis, IN 46254-7603

Mailing address

6740 Eagle Pointe Dr S Apt 1F
Indianapolis, IN 46254-4423

Other names 1

  • Gentle Dentist Other name

National Provider Directory

National Provider Directory

Locations

6225 W 56th St
Ste 100
Indianapolis, IN 46254
Phone (317) 293-3300

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1336218601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 EAGLE POINTE DR S APT 1F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 W 56TH ST",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462547603",
            "telephone_number": "317-293-3300",
            "fax_number": "317-293-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM E. HARRIS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-273-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dentist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.