Organization Active NPI

Harris and Harris DMD PSC

  • Dentist
  • Louisville, KY
National Provider Identifier
1659488765
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HARRIS AND HARRIS DMD PSC
Practice address
5010 Preston Hwy
100
Louisville, KY 40213
Phone
(502) 966-5252
Fax
(502) 968-3342
NPI assigned
Aug 24, 2006
Organization subpart
Yes
Parent organization
HARRIS AND HARRIS DMD PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Steven Earl Harris Jr., DMD
Title
President
Phone
(502) 966-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5010 Preston Hwy
100
Louisville, KY 40213

Mailing address

5010 Preston Hwy
Louisville, KY 40213
Phone (502) 966-5252

Other identifiers 1

IdentifierTypeStateIssuer
60061602MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Jill H Harris DMD2 organizations share this tax ID, including this one
Part of
Jill H Harris DMD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5010 Preston Hwy
Louisville, KY 40213
Phone (502) 966-5252

5010 Preston Hwy
Ste 100
Louisville, KY 40213
Phone (502) 966-5252

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1659488765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40213",
            "telephone_number": "502-966-5252",
            "fax_number": "502-968-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 PRESTON HWY",
            "address_2": "100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40213",
            "telephone_number": "502-966-5252",
            "fax_number": "502-968-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS AND HARRIS DMD PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRIS AND HARRIS DMD PSC",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-966-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60061602",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.