Individual provider Active NPI

James W Belcher Jr., DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Greensboro, NC
National Provider Identifier
1154494284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
7249 Issued in NC
Practice address
301 East Wendover Ave Suite 111
Piedmont Oral Maxillofacial Fac Ctr
Greensboro, NC 27401
Phone
(336) 273-1000
Fax
(336) 275-9919
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 7249 NC Primary

Addresses

Primary practice location

301 East Wendover Ave Suite 111
Piedmont Oral Maxillofacial Fac Ctr
Greensboro, NC 27401

Mailing address

301 East Wendover Ave Suite 111
Piedmont Oral Maxillofacial Fac Ctr
Greensboro, NC 27401
Phone (336) 273-1000

Other identifiers 1

IdentifierTypeStateIssuer
8990160MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101019000779 NC Practitioner - Oral Surgery 5890857015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenan Bradshaw DDS MD PAGroup PAC ID 3779007711, 4 clinicians

Practice addresses (Care Compare)

2105 Braxton LN
Suite 102
Greensboro, NC 27408-2863
Phone (336) 273-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7249NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shenan Bradshaw DDS MD PA Oral & Maxillofacial Surgery CurrentSince Apr 1, 2001 Accepting new patients

Locations

3493 Forestdale Dr
Ste 102
Burlington, NC 27215
Phone (336) 417-5933

2105 Braxton Ln
Ste 102
Greensboro, NC 27408
Phone (336) 273-1000

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154494284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST WENDOVER AVE SUITE 111",
            "address_2": "PIEDMONT ORAL MAXILLOFACIAL FAC CTR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-273-1000",
            "fax_number": "336-275-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST WENDOVER AVE SUITE 111",
            "address_2": "PIEDMONT ORAL MAXILLOFACIAL FAC CTR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-273-1000",
            "fax_number": "336-275-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990160",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.