Active NPI
Andy Trent Harris, D.C.
- Chiropractor
- Smithfield, VA
National Provider Identifier
1770577215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000590
- Practice address
- 607 S Church St
Smithfield, VA 23430-1740 - Phone
- (757) 357-5400
- Fax
- (757) 357-0657
- NPI assigned
- Sep 9, 2005
- Reactivated
- Mar 31, 2006
- Last updated
- Dec 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104000590 | VA | Primary |
Addresses
Primary practice location
607 S Church St
Smithfield, VA 23430-1740
Mailing address
607 S Church St
Smithfield, VA 23430-1740
Phone (757) 357-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100902000058 | VA | Practitioner - Chiropractic | 2961526660 | Practice locations: Smithfield, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Chiropractic Clinic of Smithfield | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Andy T. Harris
- Chiropractor
- Smithfield, VA
- NPI 1003987850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1770577215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 S CHURCH ST",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301740",
"telephone_number": "757-357-5400",
"fax_number": "757-357-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S CHURCH ST",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301740",
"telephone_number": "757-357-5400",
"fax_number": "757-357-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ANDY",
"middle_name": "TRENT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2007-12-07",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.