NPIMap

Individual provider Active NPI

Johnnyrhette Harris

  • Contractor
  • Oxon Hill, MD
National Provider Identifier
1356739825
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
44776 Issued in MD
Practice address
1408 Fenwood Ave
Oxon Hill, MD 20745-2303
Phone
(240) 409-2135
Fax
(301) 749-7163
NPI assigned
Jan 6, 2015
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 44776 MD Primary

Addresses

Primary practice location

1408 Fenwood Ave
Oxon Hill, MD 20745-2303

Mailing address

1408 Fenwood Ave
Oxon Hill, MD 20745-2303
Phone (240) 409-2135

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44776MDMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Breatheazy Transportation Sevices LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1356739825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 FENWOOD AVE",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452303",
            "telephone_number": "240-409-2135",
            "fax_number": "301-749-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 FENWOOD AVE",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452303",
            "telephone_number": "240-409-2135",
            "fax_number": "301-749-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHNNYRHETTE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MD",
            "license": "44776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.