Active NPI
James Nickolas Love, D.D.S.
- General Practice Dentistry
- Marshall, TX
National Provider Identifier
1093938219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21104
- Practice address
- 215 S Washington Ave
Marshall, TX 75670-4155 - Phone
- (903) 938-1451
- Fax
- (903) 938-1124
- NPI assigned
- Apr 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21104 | TX | Primary |
Addresses
Primary practice location
215 S Washington Ave
Marshall, TX 75670-4155
Mailing address
215 S Washington Ave
Marshall, TX 75670-4155
Phone (903) 938-1451
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B21104-01 | Other | TX | TEXAS CHIPS NUMBER |
| 1750024 | Other | TX | UNITED CONCORDIA ID |
| 173130901 | Medicaid | TX | |
| 470955683 | Other | TX | DELTA DENTAL NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160421000927 | TX | Order and Referring Only - Dentist | 7012215288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1093938219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S WASHINGTON AVE",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756704155",
"telephone_number": "903-938-1451",
"fax_number": "903-938-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S WASHINGTON AVE",
"city": "MARSHALL",
"state": "TX",
"postal_code": "756704155",
"telephone_number": "903-938-1451",
"fax_number": "903-938-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "JAMES",
"middle_name": "NICKOLAS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS CHIPS NUMBER",
"identifier": "B21104-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA ID",
"identifier": "1750024",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173130901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL NUMBER",
"identifier": "470955683",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.