Individual provider Active NPI

Andrew J Harris, DDS

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1609976349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18174 Issued in OH
Practice address
105 E 4TH St
Suite 1175
Cincinnati, OH 45202-4009
Phone
(513) 621-1432
Fax
(513) 621-0862
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18174 OH Primary

Addresses

Primary practice location

105 E 4TH St
Suite 1175
Cincinnati, OH 45202-4009

Mailing address

105 E 4TH St
Suite 1175
Cincinnati, OH 45202-4009
Phone (513) 621-1432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150420001933 OH Order and Referring Only - DentistPractitioner - Dentist 8022336221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18174OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Meyer & Harris Inc Past Accepting new patients
DRS Harris and Geiger, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609976349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 4TH ST",
            "address_2": "SUITE 1175",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024009",
            "telephone_number": "513-621-1432",
            "fax_number": "513-621-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 4TH ST",
            "address_2": "SUITE 1175",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024009",
            "telephone_number": "513-621-1432",
            "fax_number": "513-621-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.