Bruce Alan Harris, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06275 Issued in IA

Practice address

148 West Jefferson
Bruce a Harris DDS PC
Osceola, IA 50213

Phone

(641) 342-6541

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Bruce a. Harris, D.D.S.

  • Dental Clinic/Center
  • Osceola, IA
  • NPI 1568629947
  NPD (past) Authorized official
• Kerr Family Dental

  • Dental Clinic/Center
  • Osceola, IA
  • NPI 1942849963
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740342005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W JEFFERSON",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "50213",
            "telephone_number": "641-342-6541",
            "fax_number": "641-342-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WEST JEFFERSON",
            "address_2": "BRUCE A HARRIS DDS PC",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "50213",
            "telephone_number": "641-342-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149104",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J Good Sr.
• Eric Gross, PT, DPT
• Evan Lucas Gyorko
• Kylie Hall
• Brianne Nicole Hanson, TLMHC
• Hawkeye Emergency Physicians
• Randolph C Heath, D.C.
• Josiah Heckman, DC
• Don Henderson
• Katherine Doris Hensley, DPT

• General Practice Dentistry in Osceola, IA
• Providers in Osceola, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.