Active NPI
Robert L Harris, D.D.S.
- Dentist
- Cleveland, OH
National Provider Identifier
1609896570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18327
- Practice address
- 23071 Emery Rd
Cleveland, OH 44128-5134 - Phone
- (216) 591-1925
- Fax
- (216) 591-1904
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18327 | OH | Primary |
Addresses
Primary practice location
23071 Emery Rd
Cleveland, OH 44128-5134
Mailing address
23071 Emery Rd
Cleveland, OH 44128-5134
Phone (216) 591-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18327 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldyn J Muthra DDS LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Cleveland, OH
- NPI 1821925728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609896570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23071 EMERY RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441285134",
"telephone_number": "216-591-1925",
"fax_number": "216-591-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23071 EMERY RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441285134",
"telephone_number": "216-591-1925",
"fax_number": "216-591-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "18327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.