James M Elvin, LICENSED DENTURIST

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000292 Issued in WA

Practice address

1401 4TH Ave E
Olympia, WA 98506-4484

Phone

(360) 456-6040

NPI assigned

Aug 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186876800000",
    "number": "1093907222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3221",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985093221",
            "telephone_number": "360-456-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064484",
            "telephone_number": "360-456-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVIN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "LICENSED DENTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-12",
        "last_updated": "2007-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5039920",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Elloway, MD
• Sara Michelle Ellsworth, MA
• Michael K Elm, M.D.
• Amy Elsey
• Elizabeth Anne Elton
• Denden Embaye
• Emeritus Corporation (Brookdale Olympia East)
• Jordan Demarco Emerson
• Sheila Lynn Emmons, L.M.P.
• William Frank Emmons Jr., MD

• Denturist in Olympia, WA
• Providers in Olympia, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; 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.