Individual provider Active NPI

John Robert Harris, M.D.

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1962794354
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R1960 Issued in TX
Practice address
810 N Zang Blvd
Dallas, TX 75208-4263
Phone
(214) 941-4243
Fax
(214) 941-1153
NPI assigned
May 4, 2011
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R1960 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

810 N Zang Blvd
Dallas, TX 75208-4263

Mailing address

810 N Zang Blvd
Dallas, TX 75208-4263
Phone (214) 941-4243

Other practice location 1

2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (817) 453-3500

Other practice location 2

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 993-9516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170817000421 TX Practitioner - Orthopedic Surgery 4082931050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2000 FM
Midlothian, TX 76065-6559
Phone (469) 856-2476

3450 W Wheatland Rd
Suite 340
Dallas, TX 75237-4411
Phone (972) 709-9300

350 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 717-5390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1960TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Sep 9, 2019 Accepting new patients
Medhealth Current Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1441 N Beckley Ave
Ste 438
Dallas, TX 75203

810 N Zang Blvd
Dallas, TX 75208
Phone (214) 941-4243

3450 W Wheatland Rd
Ste 340
Dallas, TX 75237
Phone (214) 941-4243

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2800 E Broad St
Ste 510
Mansfield, TX 76063
Phone (682) 549-2223

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

979 Don Floyd Dr
Ste 216
Midlothian, TX 76065
Phone (682) 242-8970

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jharris55278@dm.mhd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1962794354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084263",
            "telephone_number": "214-941-4243",
            "fax_number": "214-941-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084263",
            "telephone_number": "214-941-4243",
            "fax_number": "214-941-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 E Broad St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760639186",
            "country_code": "US",
            "telephone_number": "817-453-3500",
            "fax_number": "817-453-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Northland Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554314800",
            "country_code": "US",
            "telephone_number": "952-993-9516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R1960",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.