Individual provider Active NPI

Daniel Brian Harris, DDS.

  • Oral and Maxillofacial Surgery (Dentist)
  • Metairie, LA
National Provider Identifier
1811980576
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5570 Issued in LA
Practice address
3100 Galleria Dr Ste 202
Metairie, LA 70001-2196
Phone
(504) 456-5033
Fax
(504) 456-5057
NPI assigned
Aug 29, 2005
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5570 LA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5570 LA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 5570 LA

Addresses

Primary practice location

3100 Galleria Dr Ste 202
Metairie, LA 70001-2196

Mailing address

3100 Galleria Dr Ste 202
Metairie, LA 70001-2196
Phone (504) 456-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 5, 2024 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5570LAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery PastSince Apr 6, 2021 Accepting new patients
Wboms, LLC Oral and Maxillofacial Surgery PastSince Aug 17, 2025 Accepting new patients
Metoms LLC. Oral and Maxillofacial Surgery PastSince Dec 8, 2024 Accepting new patients
Dr Richard K Akin Oral and Maxillofacial Surgery Past Accepting new patients
Anthony Indovina a P D C Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1811980576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-456-5033",
            "fax_number": "504-456-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-456-5033",
            "fax_number": "504-456-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIEL",
        "middle_name": "BRIAN",
        "credential": "DDS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5570",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "5570",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "LA",
            "license": "5570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.