Organization Active NPI

Saint James Dental Clinic

  • General Practice Dentistry
  • El Campo, TX
National Provider Identifier
1023373263
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAINT JAMES DENTAL CLINIC
Practice address
2103 N Mechanic St Ste 103
El Campo, TX 77437-2300
Phone
(979) 543-3566
NPI assigned
Jul 12, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Dr. Ross Wyatt Anderson, DDS, FAGD
Title
President
Phone
(979) 543-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X TX Primary

Addresses

Primary practice location

2103 N Mechanic St Ste 103
El Campo, TX 77437-2300

Mailing address

2103 N Mechanic St Ste 103
El Campo, TX 77437-2300
Phone (979) 543-3566

National Provider Directory

National Provider Directory

Locations

2103 N Mechanic St
Ste 103
El Campo, TX 77437
Phone (409) 543-3566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1023373263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 N MECHANIC ST STE 103",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774372300",
            "telephone_number": "979-543-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 N MECHANIC ST STE 103",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774372300",
            "telephone_number": "979-543-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JAMES DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "WYATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-543-4291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.