Active NPI
James E Pierce, DDS
- Dentist
- Lewiston, ID
National Provider Identifier
1013910371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D3909
- Practice address
- 939 Bryden Ave
#2
Lewiston, ID 83501-5057 - Phone
- (208) 746-0204
- Fax
- (208) 746-0237
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D3909 | ID | Primary |
Addresses
Primary practice location
939 Bryden Ave
#2
Lewiston, ID 83501-5057
Mailing address
939 Bryden Ave
#2
Lewiston, ID 83501-5057
Phone (208) 746-0204
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 |
|---|---|---|---|
| D3909 | ID | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1013910371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 BRYDEN AVE",
"address_2": "#2",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015057",
"telephone_number": "208-746-0204",
"fax_number": "208-746-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 BRYDEN AVE",
"address_2": "#2",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015057",
"telephone_number": "208-746-0204",
"fax_number": "208-746-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D3909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.