Active NPI
James W Stockton, DDS
- General Practice Dentistry
- Minneapolis, MN
National Provider Identifier
1063486256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9976
- Practice address
- 2010 27TH Ave S
Minneapolis, MN 55406-1108 - Phone
- (612) 336-8478
- NPI assigned
- Feb 14, 2006
- 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 | 9976 | MN | Primary |
Addresses
Primary practice location
2010 27TH Ave S
Minneapolis, MN 55406-1108
Mailing address
2010 27TH Ave S
Minneapolis, MN 55406-1108
Phone (612) 336-8478
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUE CROSS BLUE SHIE | Other | MN | BLUE CROSS ID NUMBER |
| 710609 | Other | MN | UNITED OF CONCORDIA ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125001814 | MN | Order and Referring Only - Dentist | 5193028124 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9976 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Alan Russell PLC | Past | Accepting new patients | |
| Modern Dental Professionals Minnesota PC | 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.
-
- Dentist
- Minneapolis, MN
- NPI 1194997783
-
- Dentist
- Minneapolis, MN
- NPI 1447860523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063486256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 27TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061108",
"telephone_number": "612-336-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 27TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061108",
"telephone_number": "612-336-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKTON",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "9976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID NUMBER",
"identifier": "BLUE CROSS BLUE SHIE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED OF CONCORDIA ID #",
"identifier": "710609",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.