Active NPI
Kristofer Scott Harris, DDS, MS
- Endodontics
- Pearl Harbor, HI
National Provider Identifier
1366953937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 60888750
- Practice address
- Naval Health Clinic Hawaii
480 Central Ave
Pearl Harbor, HI 96860 - Phone
- (808) 257-3365
- NPI assigned
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 60888750 | WA | Primary |
Addresses
Primary practice location
Naval Health Clinic Hawaii
480 Central Ave
Pearl Harbor, HI 96860
Mailing address
Naval Health Clinic Hawaii
480 Central Ave
Pearl Harbor, HI 96860
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60888750 | WA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1366953937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HEALTH CLINIC HAWAII",
"address_2": "480 CENTRAL AVE",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HEALTH CLINIC HAWAII",
"address_2": "480 CENTRAL AVE",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96860",
"telephone_number": "808-257-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KRISTOFER",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-23",
"last_updated": "2024-07-03",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "60888750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl Harbor, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.