Individual provider Active NPI

Amanda Catherine Harris, DDS

  • Pediatric Dentistry
  • Phoenix, AZ
National Provider Identifier
1831938455
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D012256 Issued in AZ
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

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.