Individual provider Active NPI

James William Haltom, DDS

  • General Practice Dentistry
  • Littlefield, TX
National Provider Identifier
1053589226
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21391 Issued in TX
Practice address
320 E 8TH St
Littlefield, TX 79339-3821
Phone
(806) 385-6935
Fax
(806) 385-6937
NPI assigned
Feb 11, 2008
Reactivated
Feb 4, 2009
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21391 TX Primary

Addresses

Primary practice location

320 E 8TH St
Littlefield, TX 79339-3821

Mailing address

320 E 8TH St
Littlefield, TX 79339-3821
Phone (806) 385-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161024000305 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951689173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J.W. Haltom D.D.S., Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1053589226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 8TH ST",
            "city": "LITTLEFIELD",
            "state": "TX",
            "postal_code": "793393821",
            "telephone_number": "806-385-6935",
            "fax_number": "806-385-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 8TH ST",
            "city": "LITTLEFIELD",
            "state": "TX",
            "postal_code": "793393821",
            "telephone_number": "806-385-6935",
            "fax_number": "806-385-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2009-02-04",
        "deactivation_date": "2008-12-11",
        "reactivation_date": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littlefield, TX

Sources for this page

Verify at the official NPI Registry.