Active NPI
James J. Jalowy, D.D.S.
- Dentist
- East-Bernard, TX
National Provider Identifier
1194950055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8293
- Practice address
- 901 Clubside Dr.
East-Bernard, TX 77435 - Phone
- (979) 335-4825
- Fax
- (979) 335-6076
- NPI assigned
- May 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8293 | TX | Primary |
Addresses
Primary practice location
901 Clubside Dr.
East-Bernard, TX 77435
Mailing address
P.O. Box 456
East Bernard, TX 77435
Phone (979) 335-4825
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 |
|---|---|---|---|
| 8293 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1194950055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 456",
"city": "EAST BERNARD",
"state": "TX",
"postal_code": "77435",
"telephone_number": "979-335-4825",
"fax_number": "979-335-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CLUBSIDE DR.",
"city": "EAST-BERNARD",
"state": "TX",
"postal_code": "77435",
"telephone_number": "979-335-4825",
"fax_number": "979-335-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALOWY",
"first_name": "JAMES",
"middle_name": "J.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "8293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East-Bernard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.