Individual provider Active NPI

Lloyd Roderick Harris, DDS

  • Dentist
  • Mill Valley, CA
National Provider Identifier
1679789127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38291CA Issued in CA
Practice address
7 N Knoll Rd
Ste. 7
Mill Valley, CA 94941-1663
Phone
(415) 388-7466
NPI assigned
May 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38291CA CA Primary

Addresses

Primary practice location

7 N Knoll Rd
Ste. 7
Mill Valley, CA 94941-1663

Mailing address

7 N Knoll Rd
Ste. 7
Mill Valley, CA 94941-1663
Phone (415) 388-7466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38291CACAMDDentist
38291CAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: lharris249580@direct-ucsfmedicalcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679789127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N KNOLL RD",
            "address_2": "STE. 7",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411663",
            "telephone_number": "415-388-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N KNOLL RD",
            "address_2": "STE. 7",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411663",
            "telephone_number": "415-388-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LLOYD",
        "middle_name": "RODERICK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38291CA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.