Scott Richard Harris, D.O

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7277 Issued in AZ

Practice address

20261 E Ocotillo Rd
Suite #120
Queen Creek, AZ 85242-8806

Phone

(480) 987-8768

Fax

(480) 987-5676

NPI assigned

Oct 9, 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

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Ismail Moayedpardazi DMD PLLC

  • Dental Clinic/Center
  • Queen Creek, AZ
  • NPI 1659856151
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1487842001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD",
            "address_2": "SUITE #120",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852428806",
            "telephone_number": "480-987-8768",
            "fax_number": "480-987-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD",
            "address_2": "SUITE #120",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852428806",
            "telephone_number": "480-987-8768",
            "fax_number": "480-987-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Harding, FNP-C
• Christopher Hargrave, DC
• Erica Louise Hargrave, DC
• Harmonious Mind PLLC
• Eric Joseph Harris, D.D.S
• Kelly P Harte, FNP-BC
• Suzette Hathcock, RN
• Cylinda Joy Haynes, ND
• Jonathan Noah Haynes, D.C.
• Joshua Haynie, EDS

• General Practice Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.