Individual provider Active NPI

James Anthony Carnell, D.D.S.

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1184905218
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006847 Issued in WA
Practice address
4610 N. Ash St.
(Suite 204)
Spokane, WA 99205
Phone
(509) 326-8120
Fax
(509) 325-5370
NPI assigned
Sep 2, 2011
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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 DE00006847 WA Primary

Addresses

Primary practice location

4610 N. Ash St.
(Suite 204)
Spokane, WA 99205

Mailing address

4610 N Ash St Ste 204
Spokane, WA 99205-1482
Phone (509) 326-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160623001063 WA Order and Referring Only - DentistPractitioner - Dentist 5092006957

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1184905218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N ASH ST STE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051482",
            "telephone_number": "509-326-8120",
            "fax_number": "509-325-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N. ASH ST.",
            "address_2": "(SUITE 204)",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-326-8120",
            "fax_number": "509-325-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNELL",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.