Active NPI
James Osborn, DMD
- Pediatric Dentistry
- Selma, AL
National Provider Identifier
1033416730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5694
- Practice address
- 2425 Medical Center Pkwy
Selma, AL 36701-7756 - Phone
- (334) 875-6458
- Fax
- (334) 875-6284
- NPI assigned
- Feb 16, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5694 | AL | Primary |
Addresses
Primary practice location
2425 Medical Center Pkwy
Selma, AL 36701-7756
Mailing address
2425 Medical Center Pkwy
Selma, AL 36701-7756
Phone (334) 875-6458
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 |
|---|---|---|---|
| 5694 | AL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1033416730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 MEDICAL CENTER PKWY",
"city": "SELMA",
"state": "AL",
"postal_code": "367017756",
"telephone_number": "334-875-6458",
"fax_number": "334-875-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 MEDICAL CENTER PKWY",
"city": "SELMA",
"state": "AL",
"postal_code": "367017756",
"telephone_number": "334-875-6458",
"fax_number": "334-875-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "JAMES",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "5694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.