Active NPI
Amanda Catherine Harris, DDS
- Pediatric Dentistry
- Phoenix, AZ
National Provider Identifier
1831938455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D012256
- Practice address
- 1934 E Camelback Rd Ste 110
Phoenix, AZ 85016-4136 - Phone
- (602) 854-8204
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D012256 | AZ | Primary |
Addresses
Primary practice location
1934 E Camelback Rd Ste 110
Phoenix, AZ 85016-4136
Mailing address
909 E Camelback Rd Unit 1127
Phoenix, AZ 85014-3691
Phone (949) 350-6914
Other practice location 1
2460 W Happy Valley Rd Ste 1189
Phoenix, AZ 85085-8511
Phone (602) 903-4894
Other practice location 2
1579 N Dysart Rd Ste F
Avondale, AZ 85392-1221
Phone (623) 935-9873
Other practice location 3
10213 N 92nd St # H102
Scottsdale, AZ 85258-4561
Phone (602) 833-2564
Other practice location 4
8248 W Deer Valley Rd Ste A-110
Peoria, AZ 85382-2198
Phone (623) 935-9873
Other practice location 5
15264 W Brookside Ln Ste 150
Surprise, AZ 85374-3997
Phone (623) 935-9873
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1831938455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 E CAMELBACK RD UNIT 1127",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850143691",
"telephone_number": "949-350-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1934 E CAMELBACK RD STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164136",
"telephone_number": "602-854-8204"
}
],
"practiceLocations": [
{
"address_1": "2460 W Happy Valley Rd Ste 1189",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850858511",
"country_code": "US",
"telephone_number": "602-903-4894",
"fax_number": "602-675-9843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1579 N Dysart Rd Ste F",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "853921221",
"country_code": "US",
"telephone_number": "623-935-9873",
"fax_number": "623-536-6700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10213 N 92nd St # H102",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852584561",
"country_code": "US",
"telephone_number": "602-833-2564",
"fax_number": "480-307-9957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8248 W Deer Valley Rd Ste A-110",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853822198",
"country_code": "US",
"telephone_number": "623-935-9873",
"fax_number": "623-233-6406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15264 W Brookside Ln Ste 150",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853743997",
"country_code": "US",
"telephone_number": "623-935-9873",
"fax_number": "623-748-9748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "AMANDA",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D012256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.