Active NPI
James De Vera, D.D.S.
- Dentist
- Pearland, TX
National Provider Identifier
1053726596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30062
- Practice address
- 6302 Broadway St
#150
Pearland, TX 77581-7856 - Phone
- (281) 412-4000
- NPI assigned
- Jun 23, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30062 | TX | Primary |
Addresses
Primary practice location
6302 Broadway St
#150
Pearland, TX 77581-7856
Mailing address
2750 Holly Hall St
#1907
Houston, TX 77054-4109
Phone (713) 480-3006
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 |
|---|---|---|---|
| 30062 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Dental-Pearland PLLC | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Pearland, TX
- NPI 1467732073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1053726596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 HOLLY HALL ST",
"address_2": "#1907",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770544109",
"telephone_number": "713-480-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 BROADWAY ST",
"address_2": "#150",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775817856",
"telephone_number": "281-412-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VERA",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.