Active NPI
Marshall Allen Harris, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1396863585
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2919
- Practice address
- 947 Payne Ave
Saint Paul, MN 55101-4003 - Phone
- (651) 771-5540
- Fax
- (651) 645-5107
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2919 | MN | Primary |
Addresses
Primary practice location
947 Payne Ave
Saint Paul, MN 55101-4003
Mailing address
947 Payne Ave
Saint Paul, MN 55101-4003
Phone (651) 771-5540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3K927CO | Other | MN | BLUE CROSS BLUE SHIELD |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2919 | MN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396863585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551014003",
"telephone_number": "651-771-5540",
"fax_number": "651-645-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551014003",
"telephone_number": "651-771-5540",
"fax_number": "651-645-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARSHALL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3K927CO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.