Alvin James Harris II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BH7097327 Issued in IL

Practice address

2345 W Cermak Rd
Chicago, IL 60608-3811

Phone

(773) 579-0500

Fax

(773) 579-0335

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Village Dentistry LLC

  • Dentist
  • Chicago, IL
  • NPI 1548142854
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386797124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083811",
            "telephone_number": "773-579-0500",
            "fax_number": "773-579-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083811",
            "telephone_number": "773-579-0500",
            "fax_number": "773-579-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "BH7097327",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Harris-Neely, RBT25429071
• Adriane Harris, LCSW, CADC
• Adriane A Harris
• Alan A Harris, M.D.
• Alexandra Ardis Harris, MD
• Amanda Colleen Harris, MSN, APRN, FNP-BC
• Aminah Kamaria Harris, DDS
• Anna Patrice Harris, PT
• Anthony Nathaniel Harris, M.D., M.B.A., MPH
• Antionetta Harris, CADC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.