James Bourne DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

AK1516 Issued in AK

Legal business name

JAMES BOURNE DDS PC

Practice address

3732 Ben Walters LN
Homer, AK 99603-7704

Phone

(907) 235-8574

Fax

(907) 235-7593

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Randall Bourne, DDS

Title

Owner

Phone

(907) 235-8574

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward B. Todd, DDS

  • General Practice Dentistry
  • Homer, AK
  • NPI 1104972744
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1073998480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 BEN WALTERS LN",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037704",
            "telephone_number": "907-235-8574",
            "fax_number": "907-235-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 BEN WALTERS LN",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037704",
            "telephone_number": "907-235-8574",
            "fax_number": "907-235-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BOURNE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-235-8574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "AK1516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598094",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Hykes
• Independent Living Center, Inc
• Ian Inglis
• Inner Nature Chiropractic Inc
• Vicki Jackson
• Kristin Nicole James, DPT
• Elizabeth Jansen, LMT
• Haley Lorraine Jenkins, MS, CCC-SLP
• Kirstin Jensen
• Job Ready, Inc.

• Dentist in Homer, AK
• Providers in Homer, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.