Organization Active NPI

Shawna L. Harris D.D.S.,P.a

  • General Practice Dentistry
  • Dodge City, KS
National Provider Identifier
1831219476
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60662 Issued in KS
Legal business name
SHAWNA L. HARRIS D.D.S.,P.A
Practice address
2520 N 14TH Ave
Dodge City, KS 67801-2315
Phone
(620) 227-7521
Fax
(620) 227-3711
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Kim Schubert
Title
Office MGR
Phone
(620) 227-7521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60662 KS Primary

Addresses

Primary practice location

2520 N 14TH Ave
Dodge City, KS 67801-2315

Mailing address

2520 N 14TH Ave
Dodge City, KS 67801-2315
Phone (620) 227-7521

National Provider Directory

National Provider Directory

Locations

2520 N 14th Ave
Dodge City, KS 67801
Phone (620) 227-3071

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1831219476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012315",
            "telephone_number": "620-227-7521",
            "fax_number": "620-227-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012315",
            "telephone_number": "620-227-7521",
            "fax_number": "620-227-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNA L. HARRIS D.D.S.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "SCHUBERT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "620-227-7521"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.