James B Wallace DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAMES B WALLACE DDS INC

Practice address

6618 FM 2100
Crosby, TX 77532

Phone

(281) 328-3569

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason J Wallace

Title

Owner of Estate

Phone

(281) 328-3569

Specialties & licenses 1

Addresses

Other names 1

• James B Wallace Jr DDS Inc Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James B Wallace Jr., DDS

  • Dentist
  • Crosby, TX
  • NPI 1922143882
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1154551778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1345",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "77532",
            "telephone_number": "281-328-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 FM 2100",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "77532",
            "telephone_number": "281-328-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B WALLACE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OF ESTATE",
        "authorized_official_telephone_number": "281-328-3569"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James B Wallace Jr DDS Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Crosby, TX
• Providers in Crosby, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.