Active NPI
Dennis Ray Harris, DC
- Chiropractor
- Kane, PA
National Provider Identifier
1780689372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002517L
- Practice address
- 80 Fraley St
Kane, PA 16735-1325 - Phone
- (814) 837-6493
- Fax
- (814) 837-6493
- NPI assigned
- Jun 20, 2005
- 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 | DC002517L | PA | Primary |
Addresses
Primary practice location
80 Fraley St
Kane, PA 16735-1325
Mailing address
80 Fraley St
Kane, PA 16735-1325
Phone (814) 837-6493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008978440003 | Medicaid | PA | |
| 0008978440004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040121000289 | PA | Practitioner - Chiropractic | 4385546423 | Practice locations: Smethport, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 W Main St
Smethport, PA 16749-1291
Phone (814) 887-5622
80 Fraley St
Kane, PA 16735-1325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- ddh0001@ddh0001.direct.chirotouch.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1780689372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 FRALEY ST",
"city": "KANE",
"state": "PA",
"postal_code": "167351325",
"telephone_number": "814-837-6493",
"fax_number": "814-837-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 FRALEY ST",
"city": "KANE",
"state": "PA",
"postal_code": "167351325",
"telephone_number": "814-837-6493",
"fax_number": "814-837-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DENNIS",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002517L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008978440003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008978440004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.