Jim Lam DDS PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JIM LAM DDS PLLC

Practice address

6821 Doniphan Dr
Canutillo, TX 79835-5402

Phone

(915) 877-4949

Fax

(915) 877-4242

NPI assigned

Sep 28, 2021

Last updated

Mar 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jim Lam, DDSNPI 1326411315

Title

Dentist

Phone

(626) 235-6572

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jim Datchieu Lam, DDS

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1326411315
  NPD Authorized official

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1083386114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 DONIPHAN DR",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798355402",
            "telephone_number": "915-877-4949",
            "fax_number": "915-877-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 DONIPHAN DR",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798355402",
            "telephone_number": "915-877-4949",
            "fax_number": "915-877-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "TX",
            "postal_code": "798217242",
            "country_code": "US",
            "telephone_number": "915-886-7110",
            "fax_number": "915-886-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JIM LAM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-235-6572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36284785",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doniphandental@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "address_1": "6821 Doniphan Dr",
            "city": "Canutillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "798355402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doniphandental@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "address_1": "209 Main St Ste B",
            "city": "Anthony",
            "state": "TX",
            "country_code": "US",
            "postal_code": "798217242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Leonila Fonseca- Pineda
• Roberto Gomez
• Vivian Herrera Jr., LBSW
• Nicholas B Hogue, PHARM D
• Elizabeth Jaramillo
• Mariaelena S. Knight, LMSW
• Magdalena Lara
• Miguel Humberto Lara, M.ED, LMHC
• Araceli Daniela Locatelli
• Herlinda C Lopez

• Oral and Maxillofacial Surgery (Dentist) in Canutillo, TX
• Providers in Canutillo, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.