Active NPI
Daniel Brian Harris, DDS.
- Oral and Maxillofacial Surgery (Dentist)
- Metairie, LA
National Provider Identifier
1811980576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 5570
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5570 | LA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Oral and Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Wboms, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Metoms LLC. | Oral and Maxillofacial Surgery | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Marrero, LA
- NPI 1801192836
-
- Oral and Maxillofacial Surgery (Dentist)
- Metairie, LA
- NPI 1396800553
-
- Oral and Maxillofacial Surgery (Dentist)
- Marrero, LA
- NPI 1295611093
-
- Oral and Maxillofacial Surgery (Dentist)
- Bay Saint Louis, MS
- NPI 1457521163
-
- Oral and Maxillofacial Surgery (Dentist)
- Bay Saint Louis, MS
- NPI 1265010953
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.