Active NPI
James H Harris, DDS
- General Practice Dentistry
- Enumclaw, WA
National Provider Identifier
1821145186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00003814
- Practice address
- 1233 Cole St
Enumclaw, WA 98022-2602 - Phone
- (360) 825-5527
- Fax
- (360) 802-2563
- NPI assigned
- Jan 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00003814 | WA | Primary |
Addresses
Primary practice location
1233 Cole St
Enumclaw, WA 98022-2602
Mailing address
1233 Cole St
Enumclaw, WA 98022-2602
Phone (360) 825-5527
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 734911 | Other | WA | UNITED CONCORDIA PROVIDER |
| 5004593 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00003814 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E Johnson DDS PS | Past | Accepting new patients | |
| Sean Monaghan DMD PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Enumclaw, WA
- NPI 1699126292
-
- Dental Clinic/Center
- Enumclaw, WA
- NPI 1346903465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821145186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 COLE ST",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222602",
"telephone_number": "360-825-5527",
"fax_number": "360-802-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 COLE ST",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222602",
"telephone_number": "360-825-5527",
"fax_number": "360-802-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JAMES",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00003814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "734911",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5004593",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.