Active NPI
James M Proeschel, DDS
- General Practice Dentistry
- Burleson, TX
National Provider Identifier
1043412174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19124
- Practice address
- 312 E Renfro St
Ste 204
Burleson, TX 76028-3947 - Phone
- (817) 295-7116
- Fax
- (817) 295-1404
- NPI assigned
- Jun 1, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19124 | TX | Primary |
Addresses
Primary practice location
312 E Renfro St
Ste 204
Burleson, TX 76028-3947
Mailing address
312 E Renfro St
Ste 204
Burleson, TX 76028-3947
Phone (817) 295-7116
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 |
|---|---|---|---|
| 19124 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Visions, P.a. | General Practice | Past | Accepting new patients |
| James Denton PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Burleson, TX
- NPI 1285762575
-
- Dentist
- Burleson, TX
- NPI 1912438672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1043412174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E RENFRO ST",
"address_2": "STE 204",
"city": "BURLESON",
"state": "TX",
"postal_code": "760283947",
"telephone_number": "817-295-7116",
"fax_number": "817-295-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E RENFRO ST",
"address_2": "STE 204",
"city": "BURLESON",
"state": "TX",
"postal_code": "760283947",
"telephone_number": "817-295-7116",
"fax_number": "817-295-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROESCHEL",
"first_name": "JAMES",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.