Rod B Harrison, D,D,S,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33093 Issued in CA

Practice address

3629 Lynoak St Ste a
Pomona, CA 91767-1232

Phone

(909) 625-0694

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568671923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 LYNOAK ST STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 LYNOAK ST STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671232",
            "telephone_number": "909-625-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ROD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D,D,S,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Harris
• Shantell Harris, PSYD
• Tiffenie A Harris, O.D.
• Yovana Guzman Harris, COTA/L
• Opriye O. Harrison
• Virginia Hart-Kepler, MN RN FNP-C
• Michael Hartman, D.C.
• Ryan Hartogh, PA-C
• Hannah Hartung
• Harvey D. Cohen, M.D., Inc.

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.