Individual provider Active NPI

Richard G Harris, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Sparks, NV
National Provider Identifier
1447315882
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
7275 Issued in NV
Practice address
2385 E Prater Way
#104
Sparks, NV 89434-9629
Phone
(775) 352-3535
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 7275 NV Primary

Addresses

Primary practice location

2385 E Prater Way
#104
Sparks, NV 89434-9629

Mailing address

2385 E Prater Way
#104
Sparks, NV 89434-9629
Phone (775) 352-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120329000752 NV Practitioner - Pain ManagementPractitioner - Anesthesiology 1254591100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Berman & Mack LTD. Pain Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

605 Sierra Rose Dr
Ste 4
Reno, NV 89511
Phone (775) 689-5410

Interoperability endpoints

  • Direct secure messaging: richard.harris@3643.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1447315882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY",
            "address_2": "#104",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349629",
            "telephone_number": "775-352-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY",
            "address_2": "#104",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349629",
            "telephone_number": "775-352-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "7275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.