Charles Edward Harris, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005520 Issued in VA

Practice address

210 Professional Park Dr SE
Suite 11
Blacksburg, VA 24060-6680

Phone

(540) 951-3989

Fax

(540) 951-0273

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Charles E. Harris DDS, PC

  • General Practice Dentistry
  • Blacksburg, VA
  • NPI 1326259367
  NPD (past) Authorized official
• Bass & Kamp South Main LLC

  dba New River Dental Associates

  • Dental Clinic/Center
  • Blacksburg, VA
  • NPI 1306486840
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801935721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 11",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606680",
            "telephone_number": "540-951-3989",
            "fax_number": "540-951-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 11",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606680",
            "telephone_number": "540-951-3989",
            "fax_number": "540-951-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel C Hanson, DC
• David G Harden, DO
• Jakob Dylan Hardy
• Janet Amos Harer, NP
• Richard W Harrell, PH.D
• Susan Elizabeth Harris, LPC
• Ashley M Hartung, PT, DPT
• Peter Hartung, DO
• Laura E Harvey, D.O.
• Abeera Hassan, MBBS

• General Practice Dentistry in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• General Practice Dentistry in Virginia

• 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.