James Arthur Willardsen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3224 Issued in NV

Practice address

2575 N 5TH St
Ste a
Elko, NV 89801-5092

Phone

(775) 738-9666

Fax

(775) 738-6815

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• UT PPO D-SNP

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1013080274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 N 5TH ST",
            "address_2": "STE A",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015092",
            "telephone_number": "775-738-9666",
            "fax_number": "775-738-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 N 5TH ST",
            "address_2": "STE A",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015092",
            "telephone_number": "775-738-9666",
            "fax_number": "775-738-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARDSEN",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia Marie Whisler
• Katie Alene May White
• Raquel Whittaker
• Colette Wickersham, M.A.
• Lisa Wilkinson, LCSW
• Albany Williams, AUD
• Brynlee Williams
• Christopher Eric Williams, M.D.
• Jason Williams, CADC-I
• Julia Lu Ann Williams, NP

• General Practice Dentistry in Elko, NV
• Providers in Elko, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.