Charles Robert James Jr., DDS
Individual provider Active NPI Dentist · Falls City, NE
NPI 1164539540 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164539540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4651 (NE)
- Practice address
- 2107 Stone Street
Falls City, NE 68355 - Phone
- (402) 245-4122
- Fax
- (402) 245-2959
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4651 | NE | Yes |
Addresses
Primary practice location
2107 Stone Street
Falls City, NE 68355
Mailing address
2107 Stone Street
Falls City, NE 68355
Phone (402) 245-4122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47063352800 | Medicaid | NE |
Other providers in Falls City, NE
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.