Active NPI
James Craig Aten, DDS
- Endodontics
- Sacaton, AZ
National Provider Identifier
1174512313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2698
- Practice address
- 438 W Seed Farm Rd
Sacaton, AZ 85147-0038 - Phone
- (602) 528-1209
- Fax
- (602) 528-1245
- NPI assigned
- Oct 20, 2005
- Last updated
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2698 | AZ | Primary |
Addresses
Primary practice location
438 W Seed Farm Rd
Sacaton, AZ 85147-0038
Mailing address
438 W. Seed Farm Rd .
Sacaton, AZ 85147-0038
Phone (602) 528-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 771734 | Medicaid | AZ |
Other names 1
- Dr. Jim Craig Aten I
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2698 | AZ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1174512313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 W. SEED FARM RD .",
"city": "SACATON",
"state": "AZ",
"postal_code": "851470038",
"telephone_number": "602-528-1200",
"fax_number": "602-528-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 W SEED FARM RD",
"city": "SACATON",
"state": "AZ",
"postal_code": "851470038",
"telephone_number": "602-528-1209",
"fax_number": "602-528-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATEN",
"first_name": "JAMES",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "2698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "771734",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "ATEN",
"middle_name": "CRAIG",
"prefix": "DR.",
"suffix": "I",
"credential": "D.D.S., M. S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.