Active NPI
Graham Ashton Harris, DDS
- Orofacial Pain Dentistry
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- License
- DDS102908
- Practice address
- 2095 W Vista Way Ste 218
Vista, CA 92083-6029 - Phone
- (760) 436-6365
- Fax
- (760) 436-5123
- NPI assigned
- Aug 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | DDS104403 | CA | |
| Orofacial Pain Dentistry | 1223X2210X | DDS102908 | CA | Primary |
| Oral Medicine Dentistry | 125Q00000X | DDS102908 | CA | |
| Orofacial Pain Dentistry | 1223X2210X | R862 | MN |
Addresses
Primary practice location
2095 W Vista Way Ste 218
Vista, CA 92083-6029
Mailing address
2095 W Vista Way Ste 218
Vista, CA 92083-6029
Phone (760) 436-6365
Other practice location 1
11980 San Vicente Blvd Ste 814
Los Angeles, CA 90049-6606
Phone (760) 436-6365
Other practice location 2
5830 Oberlin Dr Ste 202
San Diego, CA 92121-3754
Phone (760) 436-6365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Univ of Calif, San Francisco School of Dentistry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 W Vista Way
Suite 218
Vista, CA 92083-6029
Phone (760) 436-6365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102908 | CA | MD | Orofacial Pain Dentist |
| R862 | MN | MD | Orofacial Pain Dentist |
| DDS104403 | CA | MD | Customized Equipment (DME) |
| 102908 | CA | MD | Parenteral & Enteral Nutrition Supplies (DME) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Treatment Partners | Current | Accepting new patients | |
| Bradley a. Eli Dental Corporation | Dentist | Current | Accepting new patients |
Locations
4403 Manchester Ave
Ste 101
Encinitas, CA 92024
Phone (760) 436-6365
11980 San Vicente Blvd
Ste 814
Los Angeles, CA 90049
Phone (760) 436-6365
5830 Oberlin Dr
Ste 202
San Diego, CA 92121
Phone (760) 436-6365
2095 W Vista Way
Ste 218
Vista, CA 92083
Phone (760) 630-3562
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orofacial Pain Dentistry
- Vista, CA
- NPI 1962533919
-
- Specialist
- Rancho Mirage, CA
- NPI 1295357234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1912487265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2095 W VISTA WAY STE 218",
"city": "VISTA",
"state": "CA",
"postal_code": "920836029",
"telephone_number": "760-436-6365",
"fax_number": "760-436-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 W VISTA WAY STE 218",
"city": "VISTA",
"state": "CA",
"postal_code": "920836029",
"telephone_number": "760-436-6365",
"fax_number": "760-436-5123"
}
],
"practiceLocations": [
{
"address_1": "11980 San Vicente Blvd Ste 814",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900496606",
"country_code": "US",
"telephone_number": "760-436-6365",
"fax_number": "760-436-5123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5830 Oberlin Dr Ste 202",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921213754",
"country_code": "US",
"telephone_number": "760-436-6365",
"fax_number": "760-436-5123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "GRAHAM",
"middle_name": "ASHTON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-16",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "DDS104403",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "CA",
"license": "DDS102908",
"primary": true
},
{
"code": "125Q00000X",
"taxonomy_group": "",
"desc": "Dentist, Oral Medicine",
"state": "CA",
"license": "DDS102908",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "MN",
"license": "R862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.