Robbie James Harris III

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

9865 Issued in KY

Practice address

4975 Alben Barkley Dr Ste 4
Paducah, KY 42001-6722

Phone

(270) 408-1960

NPI assigned

Apr 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 15, 2025 through May 15, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Univiversity Oral and Facial Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tuscaloosa, AL
  • NPI 1578634515
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1558651554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 ALBEN BARKLEY DR STE 4",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 ALBEN BARKLEY DR STE 4",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016722",
            "telephone_number": "270-408-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097 Weston Dr",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223493",
            "country_code": "US",
            "telephone_number": "615-758-7745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1097 Weston Dr",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223493",
            "country_code": "US",
            "telephone_number": "615-758-7745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROBBIE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "9865",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "9855",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "9865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ian Harris
• Jennifer Brooke Harris, CRNA
• Leaslie Rowshell Harris
• Mary Nanette Harris
• Patrick T Harris, PHD.
• Stacey Lynn Harris
• Steven Lawrence Harris, D.M.D.
• Sarah Harrison, APRN
• Ashley A Hart
• Christy O'Bryan Hart, APRN

• Oral & Maxillofacial Surgery (D.M.D.) in Paducah, KY
• Providers in Paducah, KY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.