Benjamin Dominic Fitzharris, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DT-2526 Issued in HI

Practice address

Naval Station Norfolk Dental Clinic
1647 Admiral Taussig Blvd
Norfolk, VA 23511-5596

Phone

(757) 953-2786

NPI assigned

Jul 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1457514002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL STATION NORFOLK DENTAL CLINIC",
            "address_2": "1647 ADMIRAL TAUSSIG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23511",
            "telephone_number": "757-953-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL STATION NORFOLK DENTAL CLINIC",
            "address_2": "1647 ADMIRAL TAUSSIG BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235115596",
            "telephone_number": "757-953-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHARRIS",
        "first_name": "BENJAMIN",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019811",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "HI",
            "license": "DT-2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "benjamin.d.fitzharris.mil@health.mil",
            "affiliation": "N",
            "address_1": "Naval Station Norfolk Dental Clinic",
            "address_2": "1647 Admiral Taussig Blvd",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235115596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen I Fisher, MD
• Amelia Fitch, MED, EDS
• Emily Fitch, D.O.
• Bryan Corey Fitzgerald
• Jennifer Whitney Fitzgerald, LCP, PHD
• Rebecca Fitzpatrick, DPT
• Robin S Fitzpatrick, ED.S., M.ED.
• Jennifer Marola Flaherty, PH.D.
• Ethan Bruce Flathers, DO
• Heidi K Flatin, M.D.

• Prosthodontics in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Prosthodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.

Verify at the official NPI Registry.