James Douglas Bird, DMD, MD

Primary specialty

DentistTaxonomy code 122300000X

License

8275 Issued in KY

Practice address

2302 S. Union Ave #B16
Harbor Oral and Maxillofacial Surgery
Tacoma, WA 98405-1333

Phone

(253) 759-3718

NPI assigned

Jul 3, 2008

Last updated

Jul 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2014 through Mar 28, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Harbor Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Gig Harbor, WA
  • NPI 1902083108
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1063675767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S. UNION AVE #B16",
            "address_2": "HARBOR ORAL AND MAXILLOFACIAL SURGERY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-759-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S. UNION AVE #B16",
            "address_2": "HARBOR ORAL AND MAXILLOFACIAL SURGERY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-759-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8275",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE 60220460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ellen Bingham, RN
• Jessica Binkiewicz, RN
• Harold L. Bircumshaw, O.D.
• Adrianne Bird, PT, DPT
• Albert Roy Bird, D.D.S.
• Zachary A Bird, D.M.D.
• Karen Letitia Birech, LCSW
• Ashley Birgen, L.M.P
• Ayana Melesse Birhanu
• Frankie Felicia Birnberg-Perry

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.