Active NPI
James E Qualls III
- Contractor
- Dublin, OH
National Provider Identifier
1174915102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 259975
- Practice address
- 4896 Ashleigh Dr
Dublin, OH 43016-7413 - Phone
- (937) 360-6834
- NPI assigned
- Feb 27, 2015
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 259975 | OH | Primary |
Addresses
Primary practice location
4896 Ashleigh Dr
Dublin, OH 43016-7413
Mailing address
4896 Ashleigh Dr
Dublin, OH 43016-7413
Phone (937) 360-6834
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259975 | OH | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1174915102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4896 ASHLEIGH DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430167413",
"telephone_number": "937-360-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4896 ASHLEIGH DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430167413",
"telephone_number": "937-360-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUALLS",
"first_name": "JAMES",
"middle_name": "E",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-27",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "259975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.