Active NPI
Harvey Lane Harris Jr., D.D.S.
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1427100593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7986
- Practice address
- 20 Enterprise St
Suite 1
Raleigh, NC 27607-7375 - Phone
- (919) 828-3775
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7986 | NC | Primary |
Addresses
Primary practice location
20 Enterprise St
Suite 1
Raleigh, NC 27607-7375
Mailing address
104 Juniper Creek Blvd
Pinehurst, NC 28374-6806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901114 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617000495 | NC | Order and Referring Only - Dentist | 1355632613 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7986 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey Lane Harris Jr DDS PLLC | General Practice | Current | Accepting new patients |
| Robert L Williamson III DDS PA | General Practice | Past | Accepting new patients |
Locations
1317 Central Dr
Sanford, NC 27330
Phone (919) 775-2522
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Sanford, NC
- NPI 1922884709
-
- General Practice Dentistry
- Raleigh, NC
- NPI 1144338799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1427100593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 JUNIPER CREEK BLVD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283746806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ENTERPRISE ST",
"address_2": "SUITE 1",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077375",
"telephone_number": "919-828-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "HARVEY",
"middle_name": "LANE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901114",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.