Active NPI
Dan D. Harris Jr., D.M.D.
- Periodontics
- Nashville, TN
National Provider Identifier
1891838512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS4309
- Practice address
- 102 Woodmont Blvd Ste 310
Nashville, TN 37205-5240 - Phone
- (615) 386-3800
- Fax
- (615) 386-3867
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS4309 | TN | Primary |
Addresses
Primary practice location
102 Woodmont Blvd Ste 310
Nashville, TN 37205-5240
Mailing address
102 Woodmont Blvd Ste 310
Nashville, TN 37205-5240
Phone (615) 386-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160705001365 | TN | Order and Referring Only - Other (Physician) | 8628360013 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891838512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 310",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055240",
"telephone_number": "615-386-3800",
"fax_number": "615-386-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 310",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055240",
"telephone_number": "615-386-3800",
"fax_number": "615-386-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DAN",
"middle_name": "D.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TN",
"license": "DS4309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.