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DR. EFFUAH A HARRIS DDS
NPI 1174623706
Dentist - General Practice in Upland, CA

Active since September 24, 2006PECOS Enrolled
258 E 9TH ST, UPLAND, CA 91786(909) 946-3433(909) 946-3434 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Effuah A Harris Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EFFUAH A HARRIS DDS (NPI 1174623706) is an individual general practice provider in Upland, California, licensed in California (43672) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174623706
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EFFUAH A HARRISCredential: DDS
Location Address258 E 9TH STUpland, CA 91786-6017
Mailing Address258 E 9th StUpland, CA 91786-6017 · (909) 946-3433 · Fax (909) 946-3434
Phone(909) 946-3433
Fax(909) 946-3434
Sole ProprietorYes
Enumeration DateSeptember 24, 2006
Last NPPES UpdateNovember 3, 2009
✔ NPI 1174623706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43672
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
258 E 9TH ST, Upland, CA 91786
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Effuah A Harris Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Effuah Harris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western University Of Health Sciences
6.0 mi
Optometrist
795 E. SECOND STREET, SUITE 2
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 82 clinicians in this Medicare group
NPI 1245467885 (909) 706-3899
Northern Valley Indian Health Inc
391 mi
Clinic/Center
175 W COURT ST
Woodland, CA 95695
  • Reassigned Medicare billing, Texas enrollment
  • 89 clinicians in this Medicare group
NPI 1881960128 (530) 934-9293

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAHER LABIB BARSOUM DENTIST
Dentist
258 E 9TH ST
UPLAND, CA 91786
San Bernardino County (909) 920-5222
EMPOWER DENTAL UPLAND DOWNTOWN INC-ARKELAKYAN DENTAL GROUP INC
Dentist (General Practice)
258 E 9TH ST
UPLAND, CA 91786
San Bernardino County (818) 601-8550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Effuah Harris's NPI number?

The NPI number for Effuah Harris is 1174623706. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Effuah Harris located?

Effuah Harris practices at 258 E 9th St, Upland, CA 91786. The listed phone number is (909) 946-3433.

What is Effuah Harris's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Effuah Harris enrolled in Medicare?

Yes. Effuah Harris is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Effuah Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Effuah Harris reassigns Medicare benefits to 2 organizations: Western University Of Health Sciences (Pomona, CA) and Northern Valley Indian Health Inc (Woodland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Effuah Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Effuah Harris was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.