Kevin Malcolm James, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4106 Issued in SC

Practice address

1108 Calhoun St
Newberry, SC 29108-3445

Phone

(803) 276-0940

Fax

(803) 276-0941

NPI assigned

Jan 2, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Family Dentistry of Newberry

  • Dentist
  • Newberry, SC
  • NPI 1821006826
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1003973009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 CALHOUN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083445",
            "telephone_number": "803-276-0940",
            "fax_number": "803-276-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 CALHOUN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083445",
            "telephone_number": "803-276-0940",
            "fax_number": "803-276-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KEVIN",
        "middle_name": "MALCOLM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4106",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darnasia Houseal
• James King Humphries
• Corey D Hunt, MD
• Hayley Anne Hunt, LMT
• Allison Renee Hunter, RN
• Paula Jennings, RN
• Shunti Chick Jeter, LPN
• JL McHugh Insights and Development LLC
• Barbie K. Johnson
• Sidney Johnson, M.ED.

• All providers in Newberry, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.