Active NPI
Harrison Dai, DDS
- Dentist
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009098A
- Practice address
- 8049 Cleveland Place
Merrillville, IN 46410 - Phone
- (219) 738-1851
- Fax
- (219) 738-2275
- NPI assigned
- Oct 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12009098A | IN | Primary |
| Dentist | 122300000X | 19016199 | IL |
Addresses
Primary practice location
8049 Cleveland Place
Merrillville, IN 46410
Mailing address
8049 Cleveland Place
Merrillville, IN 46410
Phone (219) 738-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19016199 | IL | MD | Dentist |
| 12009098A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Community Mental Health Center Inc. | Current | Accepting new patients |
Locations
3903 Indianapolis Blvd
East Chicago, IN 46312
Phone (219) 392-6001
4022 Hohman Ave
Hammond, IN 46327
Phone (219) 937-3300
559 State St
Hammond, IN 46320
Phone (219) 937-3300
8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924
8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232
Interoperability endpoints
- harry.dai.p1@direct.geminus.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962585398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8049 CLEVELAND PLACE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "46410",
"telephone_number": "219-738-1851",
"fax_number": "219-738-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8049 CLEVELAND PLACE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "46410",
"telephone_number": "219-738-1851",
"fax_number": "219-738-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAI",
"first_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12009098A",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19016199",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
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.