Organization Active NPI

Harris Done DDS Dental Corp

  • Oral and Maxillofacial Surgery (Dentist)
  • Westminster, CA
National Provider Identifier
1710636857
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
HARRIS DONE DDS DENTAL CORP
Practice address
13030 Hoover St
Westminster, CA 92683-2388
Phone
(714) 588-0209
Fax
(714) 333-4171
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Harris Done, DDSNPI 1346315462
Title
Owner/Provider
Phone
(714) 588-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

13030 Hoover St
Westminster, CA 92683-2388

Mailing address

13030 Hoover St
Westminster, CA 92683-2388
Phone (714) 588-0209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220502001689 CA Part B Supplier - Clinic/Group Practice 2466849948 Receives reassigned benefits from 3 practitioners
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

13030 Hoover St
Westminster, CA 92683
Phone (714) 588-0209

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1710636857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 HOOVER ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832388",
            "telephone_number": "714-588-0209",
            "fax_number": "714-333-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 HOOVER ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832388",
            "telephone_number": "714-588-0209",
            "fax_number": "714-333-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS DONE DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "DONE",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "714-588-0209",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.