James C. Pitts Jr., D.M.D.
Individual provider Active NPI Dentist · Jasper, TN
NPI 1114098209 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114098209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS8277 (TN)
- Practice address
- 19 W 3Rd St
Jasper, TN 37347-3218 - Phone
- (423) 942-3334
- Fax
- (423) 942-3331
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110408000040 | TN | Practitioner - Oral Surgery | 0244414696 | Practice locations: Jasper, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS8277 | TN | MD | Dentist |
| 8277 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS8277 | TN | Yes |
Addresses
Primary practice location
19 W 3Rd St
Jasper, TN 37347-3218
Mailing address
19 W 3Rd St
Jasper, TN 37347-3218
Phone (423) 942-3334
Other providers in Jasper, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.