NPIMap

Individual provider Active NPI

Tracy A Harris, DDS

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1649573759
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10315 Issued in MD
Practice address
801 Wayne Ave
Suite 401
Silver Spring, MD 20910-4450
Phone
(301) 589-0518
Fax
(301) 589-0504
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10315 MD Primary
General Practice Dentistry 1223G0001X DEN5106 DC

Addresses

Primary practice location

801 Wayne Ave
Suite 401
Silver Spring, MD 20910-4450

Mailing address

801 Wayne Ave
Suite 401
Silver Spring, MD 20910-4450
Phone (301) 589-0518

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
DEN5106DCMDGeneral Practice Dentistry
10315MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William E. Kelson, DDS & Associates General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1649573759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WAYNE AVE",
            "address_2": "SUITE 401",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104450",
            "telephone_number": "301-589-0518",
            "fax_number": "301-589-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WAYNE AVE",
            "address_2": "SUITE 401",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104450",
            "telephone_number": "301-589-0518",
            "fax_number": "301-589-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10315",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN5106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.