NPIMap

Organization Active NPI

Mark Harris, D.M.D., P.C.

  • General Practice Dentistry
  • La Grande, OR
National Provider Identifier
1396043600
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6922 Issued in OR
Legal business name
MARK HARRIS, D.M.D., P.C.
Practice address
1809 3Rd St
La Grande, OR 97850-2244
Phone
(541) 963-0924
Fax
(541) 962-0924
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mark Harris, D.M.D.NPI 1184622797
Title
Dentist
Phone
(541) 963-0924

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 6922 OR Primary

Addresses

Primary practice location

1809 3Rd St
La Grande, OR 97850-2244

Mailing address

1809 3Rd St
La Grande, OR 97850-2244
Phone (541) 963-0924

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1396043600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 3RD ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502244",
            "telephone_number": "541-963-0924",
            "fax_number": "541-962-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 3RD ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978502244",
            "telephone_number": "541-963-0924",
            "fax_number": "541-962-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK HARRIS, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-963-0924",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.