Active NPI
Kenalia Harris
- Prosthetic/Orthotic Supplier
- Grand Prairie, TX
National Provider Identifier
1669104923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 200 N Carrier Pkwy
Grand Prairie, TX 75050-5476 - Phone
- (214) 664-5933
- NPI assigned
- Jun 27, 2022
- Last updated
- Jun 27, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
200 N Carrier Pkwy
Grand Prairie, TX 75050-5476
Mailing address
1334 High Ridge Dr
Duncanville, TX 75137-3637
Phone (214) 664-5933
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1669104923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 HIGH RIDGE DR",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751373637",
"telephone_number": "214-664-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750505476",
"telephone_number": "214-664-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KENALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.