Louie V Harrison III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2278-86 Issued in MS

Practice address

412 Tyler Holmes Dr
Winona, MS 38967-1522

Phone

(662) 283-4722

Fax

(662) 283-2588

NPI assigned

Feb 25, 2008

Last updated

Feb 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Louie V. Harrison, III DMD PLLC

  • General Practice Dentistry
  • Winona, MS
  • NPI 1689747917
  NPD (past) Authorized official
• Abraham Dental Winona, PLLC

  dba Harrison Dental

  • Dentist
  • Winona, MS
  • NPI 1194424747
  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1376712364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 TYLER HOLMES DR",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389671522",
            "telephone_number": "662-283-4722",
            "fax_number": "662-283-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 TYLER HOLMES DR",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389671522",
            "telephone_number": "662-283-4722",
            "fax_number": "662-283-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LOUIE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2278-86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "2278-86",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "2278-86",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060241",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alleda J Glasner, NP
• Frances Gomiller, LPN
• Andrew Gore
• Grenada Family Medicine Clinic (Winona Family Medicine Clinic)
• Hammonds Pharmacy Inc (Hammonds Pharmacy & Gifts)
• Valerie L Hill, COTA
• Rebecca Hodges, M.D.
• Tonette Holmes
• Hometown Therapy & Fitness, LLC
• Mary Catherine Hoover, DMD

• General Practice Dentistry in Winona, MS
• Providers in Winona, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.