Individual provider Active NPI

Dwight M Harris, DC

  • Chiropractor
  • Allen, TX
National Provider Identifier
1518030261
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2930 Issued in TX
Practice address
101 N Greenville Ave
Ste BB
Allen, TX 75002-9116
Phone
(972) 727-6471
Fax
(972) 727-1211
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2930 TX Primary

Addresses

Primary practice location

101 N Greenville Ave
Ste BB
Allen, TX 75002-9116

Mailing address

101 N Greenville Ave.
Ste BB
Allen, TX 75002-9116
Phone (972) 727-6471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000851 TX Practitioner - Chiropractic 4486813607 Practice locations: Allen, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 N Greenville Ave
Suite BB
Allen, TX 75002-9116
Phone (972) 727-6471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1518030261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N GREENVILLE AVE.",
            "address_2": "STE BB",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750029116",
            "telephone_number": "972-727-6471",
            "fax_number": "972-727-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N GREENVILLE AVE",
            "address_2": "STE BB",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750029116",
            "telephone_number": "972-727-6471",
            "fax_number": "972-727-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DWIGHT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.