Active NPI
Robert Bryan Harrison, DMD
- Pediatric Dentistry
- Trent Woods, NC
National Provider Identifier
1619948841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2411-88
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2411-88 | MS | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert B. Harrison DMD MSD PLLC | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Multi-Specialty Clinic/Center
- New Bern, NC
- NPI 1396906780
Pediatric Dentistry
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.