David W. Harris, M.D.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

25099 Issued in AZ

Practice address

1803 N Estrada
Mesa, AZ 85207-4017

Phone

(480) 854-3707

Fax

(480) 854-3707

NPI assigned

Apr 4, 2006

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• David Harris, M.D. P.C.

  • Gynecology Physician
  • Aurora, CO
  • NPI 1699909408
  NPD (past) Authorized official

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325289600000",
    "number": "1912969007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 N ESTRADA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074017",
            "telephone_number": "480-854-3707",
            "fax_number": "480-854-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 N ESTRADA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074017",
            "telephone_number": "480-854-3707",
            "fax_number": "480-854-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "25099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01172162",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Harrington, AT, ATC
• Harris Behavioral Services, PLLC
• Anne E. Harris, PH.D.
• Breckin Nicole Harris, NMD
• Codie Isabelle Harris, RBT
• Demetria Harris
• Eric Sam Harris, BCBA
• James A Harris, PA-C
• Jamie Lynn Harris, MSN, APRN FNP-C
• Jennifer Anne Harris, RDN

• Health Maintenance Organization in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; 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.

Verify at the official NPI Registry.