Individual provider Active NPI

Robert Bryan Harrison, DMD

  • Pediatric Dentistry
  • Trent Woods, NC
National Provider Identifier
1619948841
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2411-88 Issued in MS
Practice address
2811 Village Way
Trent Woods, NC 28562-7351
Phone
(252) 633-0424
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2411-88 MS Primary

Addresses

Primary practice location

2811 Village Way
Trent Woods, NC 28562-7351

Mailing address

2417 Oakview Dr
New Bern, NC 28562-8587
Phone (757) 535-2507

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

LicenseStateTypeSpecialty
2411-88MSMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B. Harrison DMD MSD PLLC Pediatric Dentistry PastSince Sep 10, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rharrison21765@carolinaeastmc.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1619948841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 OAKVIEW DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285628587",
            "telephone_number": "757-535-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 VILLAGE WAY",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ROBERT",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "2411-88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trent Woods, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.