Individual provider Active NPI

Daniel L Harris Jr., PA-C

  • Physician Assistant
  • El Reno, OK
National Provider Identifier
1669620332
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2301 Issued in OK
Practice address
2115 Parkview Dr
El Reno, OK 73036
Phone
(405) 262-2640
NPI assigned
Sep 5, 2008
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002141 CT
Physician Assistant 363A00000X 2301 OK Primary

Addresses

Primary practice location

2115 Parkview Dr
El Reno, OK 73036

Mailing address

2115 Parkview Dr
El Reno, OK 73036-2109
Phone (405) 262-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140612000151 OK Practitioner - Physician Assistant 1153371067 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2301OKMDProfessional Counselor
002141CTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Kingfisher, Inc CurrentSince Jul 1, 2025 Accepting new patients
Mercy Hospital Logan County Inc CurrentSince Jul 1, 2025 Accepting new patients
Cordell Memorial Hospital 0189 CurrentSince Dec 27, 2023 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Feb 28, 2024 Accepting new patients
Cordell Memorial Hospital 0189 CurrentSince Dec 27, 2023 Accepting new patients
Clinton Hospital Authority CurrentSince Feb 14, 2025 Accepting new patients
Cordell Memorial Hospital 0189 Past Accepting new patients
Mission Treatment Centers, Inc. Past Accepting new patients

Locations

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

1220 N Glenn L English St
Cordell, OK 73632
Phone (580) 832-3339

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

Interoperability endpoints

  • Direct secure messaging: dharris311851@direct-ehr-ssmhc.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1669620332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362109",
            "telephone_number": "405-262-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "73036",
            "telephone_number": "405-262-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002141",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.