Individual provider Active NPI

James C. Chapman, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Milton, GA
National Provider Identifier
1114090560
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
012460 Issued in GA
Practice address
12220 Birmingham Hwy BLDG 50
Milton, GA 30004-4184
Phone
(770) 664-6008
Fax
(770) 664-6998
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012460GAMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 012460 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

12220 Birmingham Hwy BLDG 50
Milton, GA 30004-4184

Mailing address

12220 Birmingham Hwy BLDG 50
Milton, GA 30004-4184
Phone (770) 664-6008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2021.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1114090560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 BIRMINGHAM HWY BLDG 50",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044184",
            "telephone_number": "770-664-6008",
            "fax_number": "770-664-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 BIRMINGHAM HWY BLDG 50",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300044184",
            "telephone_number": "770-664-6008",
            "fax_number": "770-664-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JAMES",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "012460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.