Individual provider Active NPI

David Charles James, DMD

  • General Practice Dentistry
  • Minden, NV
National Provider Identifier
1215076674
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4290T Issued in NV
Practice address
1664 US Highway 395 N Ste 103
Minden, NV 89423-4322
Phone
(775) 782-7799
Fax
(775) 782-4362
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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 4290T NV Primary

Addresses

Primary practice location

1664 US Highway 395 N Ste 103
Minden, NV 89423-4322

Mailing address

1664 US Highway 395 N Ste 103
Minden, NV 89423-4322
Phone (775) 782-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160729001977 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880987775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4290TNVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1215076674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 US HIGHWAY 395 N STE 103",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234322",
            "telephone_number": "775-782-7799",
            "fax_number": "775-782-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 US HIGHWAY 395 N STE 103",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234322",
            "telephone_number": "775-782-7799",
            "fax_number": "775-782-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4290T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.