Active NPI
Peyton Harris
- Orthodontics and Dentofacial Orthopedics Dentistry
- Acworth, GA
National Provider Identifier
1487145272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN015629
- Practice address
- 3450 Cobb Pkwy NW Ste 160
Acworth, GA 30101-8379 - Phone
- (770) 203-1711
- NPI assigned
- May 29, 2018
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN015629 | GA | Primary |
Addresses
Primary practice location
3450 Cobb Pkwy NW Ste 160
Acworth, GA 30101-8379
Mailing address
11 S Mill St Ste 200
New Castle, PA 16101-3680
Phone (724) 698-2132
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015629 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Orthodontics, LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Pda Ortho Specialty of Georgia, LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Atlanta, GA
- NPI 1669132833
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Acworth, GA
- NPI 1982169173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1487145272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S MILL ST STE 200",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161013680",
"telephone_number": "724-698-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 COBB PKWY NW STE 160",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018379",
"telephone_number": "770-203-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PEYTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN015629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.