Active NPI
Dennis W Harris, DDS
- Public Health Dentistry
- Oklahoma City, OK
National Provider Identifier
1497860175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 4603
- Practice address
- 1213 SW 89TH St
Suite B
Oklahoma City, OK 73139-9111 - Phone
- (405) 634-1977
- Fax
- (405) 634-1977
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 4603 | OK | Primary |
Addresses
Primary practice location
1213 SW 89TH St
Suite B
Oklahoma City, OK 73139-9111
Mailing address
1213 SW 89TH St
Suite B
Oklahoma City, OK 73139-9111
Phone (405) 634-1977
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 |
|---|---|---|---|
| 4603 | OK | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497860175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 SW 89TH ST",
"address_2": "SUITE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399111",
"telephone_number": "405-634-1977",
"fax_number": "405-634-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 SW 89TH ST",
"address_2": "SUITE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399111",
"telephone_number": "405-634-1977",
"fax_number": "405-634-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DENNIS",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "OK",
"license": "4603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.