Active NPI
John Alton Harris III, MD
- Anesthesiology Physician
- Missoula, MT
National Provider Identifier
1912420845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MED-PHYS-LIC-3760
- Practice address
- 3106 Old Pond Rd
Missoula, MT 59802-3255 - Phone
- (406) 728-6615
- NPI assigned
- Jul 23, 2017
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MED-PHYS-LIC-3760 | MT | Primary |
Addresses
Primary practice location
3106 Old Pond Rd
Missoula, MT 59802-3255
Mailing address
3106 Old Pond Rd
Missoula, MT 59802-3255
Phone (406) 728-6615
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-3760 | MT | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912420845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 OLD POND RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023255",
"telephone_number": "406-728-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 OLD POND RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023255",
"telephone_number": "406-728-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JOHN",
"middle_name": "ALTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MT",
"license": "MED-PHYS-LIC-3760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.