Eric Steven Harris, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5796 Issued in AL

Practice address

1619 Gilmer Ave
Tallassee, AL 36078-2313

Phone

(334) 991-3316

NPI assigned

Jun 28, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in AL

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1487965158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782313",
            "telephone_number": "334-991-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782313",
            "telephone_number": "334-991-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D5796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Allison Dunlap, PHARM.D.
• Cameron Cannon Elliott, PT
• Engage Home Therapy LLC
• Maher Farah, MD
• Adrienne Bolan Goggans, CPNP-PC
• David Bradford Hartsell Jr., PHARMD
• Herren Hill Pharmacy,Inc.
• Herring Chiropractic Clinic LLC
• Randal David Herring, DC
• Whitney Fenn Hester, M.S., BCBA

• General Practice Dentistry in Tallassee, AL
• Providers in Tallassee, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.