Ethan Harris DMD, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ETHAN HARRIS DMD, INC

Doing business as

Rock 'N' Roll Dental

Practice address

2301 Camino Ramon Ste 294
San Ramon, CA 94583-4440

Phone

(925) 557-7022

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Harris, D.M.D.NPI 1255451266

Title

Owner/President

Phone

(925) 557-7022

Specialties & licenses 1

Addresses

Other names 1

• Rock 'N' Roll Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethan Daniel Harris, D.M.D.

  • Dentist
  • San Ramon, CA
  • NPI 1255451266
  NPD (past) Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1528504974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 294",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834440",
            "telephone_number": "925-557-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 294",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834440",
            "telephone_number": "925-557-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN HARRIS DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "925-557-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock 'N' Roll Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberlee Espodron
• Kristal Estevez
• Esther Maria Najarro, MFT
• Pedro Estrada-Gutierrez
• Chance A Estrada
• Inise Evans
• Ever After Individual and Family Therapy
• Ever After Individual and Family Therapy
• Mya Brynn Ewing, B.S., RBT 15-02535
• Aimee D Eyvazzadeh, MD

• General Practice Dentistry in San Ramon, CA
• Providers in San Ramon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.