Individual provider Active NPI

James Patton Webb Jr., DMD

  • General Practice Dentistry
  • Gulfport, MS
National Provider Identifier
1093128894
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3751-14 Issued in MS
Practice address
15503 Oak LN # 300B
Gulfport, MS 39503-2697
Phone
(228) 832-3231
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3751-14 MS Primary

Addresses

Primary practice location

15503 Oak LN # 300B
Gulfport, MS 39503-2697

Mailing address

15503 Oak LN # 300B
Gulfport, MS 39503-2697

Other practice location 1

232A Eisenhower Dr
Biloxi, MS 39531-3601
Phone (228) 388-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528001094 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5890015176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3751-14MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Dental Care, PLLC General Practice CurrentSince Jun 9, 2024 Accepting new patients
Gulf Coast Dental Care of Biloxi PLLC PastSince May 26, 2024 Accepting new patients
The Dental Plaza, PA General Practice Past Accepting new patients

Locations

15503 Oak Ln
#300B
Gulfport, MS 39503
Phone (228) 832-3231

Networks

  • LA PPO C-SNP

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1093128894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697",
            "telephone_number": "228-832-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232A Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395313601",
            "country_code": "US",
            "telephone_number": "228-388-9551",
            "fax_number": "228-388-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JAMES",
        "middle_name": "PATTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3751-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.