Individual provider Active NPI

Benjamin James, D.D.S.

  • General Practice Dentistry
  • Dallas, OR
National Provider Identifier
1194175935
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10450 Issued in OR
Practice address
201 SE Washington St Ste B
Dallas, OR 97338-2860
Phone
(503) 623-2666
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 D10450 OR Primary

Addresses

Primary practice location

201 SE Washington St Ste B
Dallas, OR 97338-2860

Mailing address

201 SE Washington St Ste B
Dallas, OR 97338-2860
Phone (503) 623-2666

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

LicenseStateTypeSpecialty
D10450ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James Dental Group PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

201 SE Washington St
Ste B
Dallas, OR 97338
Phone (503) 623-2666

289 E Ellendale Ave
Ste 204
Dallas, OR 97338
Phone (503) 623-2666

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1194175935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SE WASHINGTON ST STE B",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382860",
            "telephone_number": "503-623-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SE WASHINGTON ST STE B",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382860",
            "telephone_number": "503-623-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.