Active NPI
James Doll, DMD
- Public Health Dentistry
- Denver, CO
National Provider Identifier
1083943906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DEN.00205009
- Practice address
- 777 Bannock St # Mc3240
Denver, CO 80204-4597 - Phone
- (303) 436-6000
- NPI assigned
- Dec 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DEN.00205009 | CO | Primary |
| Public Health Dentistry | 1223D0001X | 8817 | KY |
Addresses
Primary practice location
777 Bannock St # Mc3240
Denver, CO 80204-4597
Mailing address
7702 Norbourne Ave
Louisville, KY 40222-4822
Phone (502) 426-2890
Other practice location 1
2608 paul jones st
great lakes, IL 60088
Phone (847) 688-3331
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205009 | CO | MD | Public Health Dentist |
| 8817 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1083943906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 NORBOURNE AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224822",
"telephone_number": "502-426-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST # MC3240",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-6000"
}
],
"practiceLocations": [
{
"address_1": "2608 paul jones st",
"address_purpose": "LOCATION",
"city": "great lakes",
"state": "IL",
"postal_code": "60088",
"country_code": "US",
"telephone_number": "847-688-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLL",
"first_name": "JAMES",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-24",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CO",
"license": "DEN.00205009",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "KY",
"license": "8817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.