Individual provider Active NPI

Austin Bruce Harbison, DDS

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1912576828
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN2000057 Issued in DC
Practice address
555 12TH St NW Ste L300
Washington, DC 20004-1259
Phone
(202) 783-3368
NPI assigned
Jun 24, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN2000057 DC Primary

Addresses

Primary practice location

555 12TH St NW Ste L300
Washington, DC 20004-1259

Mailing address

540 Summer Breeze Dr
Durham, NC 27704-2292
Phone (828) 773-6052

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@washingtonelitedentistry.com

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

State licenses

LicenseStateTypeSpecialty
DEN2000057DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Harbison DDS PLLC General Practice Current Accepting new patients
Caroline Berman DMD PA CurrentSince May 29, 2022 Accepting new patients

Locations

555 12th St NW
Ste L300
Washington, DC 20004
Phone (202) 783-3368

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1912576828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SUMMER BREEZE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042292",
            "telephone_number": "828-773-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 12TH ST NW STE L300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200041259",
            "telephone_number": "202-783-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBISON",
        "first_name": "AUSTIN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN2000057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@washingtonelitedentistry.com",
            "affiliation": "N",
            "address_1": "555 12th St NW Ste L300",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200041259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.