Active NPI
James Bourne, D.D.S.
- General Practice Dentistry
- Gilbert, AZ
National Provider Identifier
1003933581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6109
- Practice address
- 2487 S Gilbert Rd
105
Gilbert, AZ 85295-8899 - Phone
- (480) 732-1888
- Fax
- (480) 732-1890
- NPI assigned
- Mar 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6109 | AZ | Primary |
Addresses
Primary practice location
2487 S Gilbert Rd
105
Gilbert, AZ 85295-8899
Mailing address
2102 E Carla Vista
Chandler, AZ 85225
Phone (480) 620-4958
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6109 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1003933581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 E CARLA VISTA",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85225",
"telephone_number": "480-620-4958",
"fax_number": "480-732-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2487 S GILBERT RD",
"address_2": "105",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852958899",
"telephone_number": "480-732-1888",
"fax_number": "480-732-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURNE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "6109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.