Dale Vernon Harris, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30740 Issued in CA

Practice address

78 E Central Ave
Quincy, CA 95971-9718

Phone

(530) 283-0980

NPI assigned

Feb 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 28, 2016 through Jan 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greenville Rancheria

  • Dental Clinic/Center
  • Quincy, CA
  • NPI 1477345577
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841326972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 E CENTRAL AVE",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 E CENTRAL AVE",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DALE",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "30740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Marie Hagwood
• Joseph J Hagwood
• Julie Hammond, DPT
• John Delvin Hamner Jr., CADC I
• Jill A Hanna, MD
• Shannon M Harston, MFC
• Sarah Hasse
• HCM Quincy Convalescent Hosp Inc (Plumas Sierra Nursing and Rehabilitation Center)
• Aimee Owens Heaney
• Tyrus Herbertson

• General Practice Dentistry in Quincy, CA
• Providers in Quincy, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.