Chantai Nacole Harris, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN122640 Issued in GA

Practice address

2220 Wisteria Dr Ste 300
Snellville, GA 30078-4604

Phone

(678) 836-2107

NPI assigned

Jun 15, 2020

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1710502778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ROLLING ACRES DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946137",
            "telephone_number": "770-876-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR STE 300",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784604",
            "telephone_number": "678-836-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "NYU Langone Medical Center",
            "address_2": "550 First Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHANTAI",
        "middle_name": "NACOLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN122640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caressa Harp, LPC
• Jayla Harper, RBT
• Melanie E Harper
• Shelly Harper, FNP-C
• Colin Harrell
• Deidre Harris, MD
• Joanne Harris, LPC
• Jomo Harris
• Latasha Tanika Harris, LPC
• Regina Harris

• Pediatric Dentistry in Snellville, GA
• Providers in Snellville, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.