David James Harris, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12005904 Issued in IN

Practice address

51565 Bittersweet Road
Suite a
Granger, IN 46530-8859

Phone

(574) 277-6637

Fax

(574) 243-0075

NPI assigned

Jun 25, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437355708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51565 BITTERSWEET ROAD",
            "address_2": "SUITE A",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308859",
            "telephone_number": "574-277-6637",
            "fax_number": "574-243-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51565 BITTERSWEET ROAD",
            "address_2": "SUITE A",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308859",
            "telephone_number": "574-277-6637",
            "fax_number": "574-243-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12005904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catharine Marie Haab, PHARMD
• Michael J Hacken
• Lynn Halstead, RNFA
• Kevin Dale Hancock, DC
• Shelly Styons Harkins, MD
• Christopher Head
• Healthtrans LLC
• Christine M Healy
• Hearth at Juday Creek LLC
• Brian Joseph Heckman, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Granger, IN
• Providers in Granger, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• 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.