Individual provider Active NPI

James Carlton Palmer, D.D.S.

  • General Practice Dentistry
  • Homer, LA
National Provider Identifier
1184761470
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4097 Issued in LA
Practice address
729 W Main St
Homer, LA 71040-3314
Phone
(318) 927-6152
Fax
(318) 927-5200
NPI assigned
Jan 30, 2007
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4097 LA Primary

Addresses

Primary practice location

729 W Main St
Homer, LA 71040-3314

Mailing address

1706 Highway 3062
Homer, LA 71040-5250
Phone (318) 927-3056

Other identifiers 1

IdentifierTypeStateIssuer
1840971MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160127002135 LA Order and Referring Only - DentistPractitioner - Dentist 9436462074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1184761470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 HIGHWAY 3062",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710405250",
            "telephone_number": "318-927-3056",
            "fax_number": "318-927-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W MAIN ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403314",
            "telephone_number": "318-927-6152",
            "fax_number": "318-927-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JAMES",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840971",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

Verify at the official NPI Registry.