Pediatric Dentistry of Memphis PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF MEMPHIS PLLC

Practice address

717 S White Station Rd Ste D
Memphis, TN 38117-4538

Phone

(901) 598-8500

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Calvin Harris, DDSNPI 1497283691

Title

President

Phone

(901) 598-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• David Calvin Harris, DDS

  • Pediatric Dentistry
  • Memphis, TN
  • NPI 1497283691
  NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1609400431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 OLD MILL RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382124",
            "telephone_number": "901-598-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S WHITE STATION RD STE D",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174538",
            "telephone_number": "901-598-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF MEMPHIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-598-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029348",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates,PC
• Pediatric Cardiology Consultants, P.C.
• Pediatric Consultants, P.C.
• Pediatric Dental Associates PLLC
• Pediatric Dental Care of Memphis, PLLC
• Pediatric Emergency Specialists, PC
• Pediatric Partners of Memphis, LLC
• Pediatric Psychiatric Professional LLC
• Pediatric Radiology
• Pediatric Sedation Specialists, PC

• Pediatric Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.