Active NPI
James Marion Culberson, D.M.D., M.S.
- Periodontics
- Fredericksburg, VA
National Provider Identifier
1215085568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401007102
- Practice address
- 12104 Sheraton Hills Dr
Fredericksburg, VA 22407-6748 - Phone
- (540) 548-2605
- Fax
- (540) 548-2606
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401007102 | VA | Primary |
Addresses
Primary practice location
12104 Sheraton Hills Dr
Fredericksburg, VA 22407-6748
Mailing address
32299 Deep Meadow LN
Locust Grove, VA 22508-2953
Phone (540) 854-7390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 1, 2012 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007102 | VA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fredericksburg Dentist and Implant Center, Inc. | Past | Accepting new patients |
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.
-
- Dentist
- Fredericksburg, VA
- NPI 1649098500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215085568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32299 DEEP MEADOW LN",
"city": "LOCUST GROVE",
"state": "VA",
"postal_code": "225082953",
"telephone_number": "540-854-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12104 SHERATON HILLS DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076748",
"telephone_number": "540-548-2605",
"fax_number": "540-548-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBERSON",
"first_name": "JAMES",
"middle_name": "MARION",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401007102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Anna Veronica Cuccinelli
- Cuff Counseling, LLC
- Cuidado Casero Home Care of Virginia Inc
- Cuidado Casero Home Care of Virginia Inc
- Cuidado Casero Home Care of Virginia Inc
- Julie Arline Cummings, FNP-BC
- Kailie R Cummings, OTR/F
- Talisa Cummings, PHYSICAL THERAPIST
- Destinee Janet Cunningham
- Randall B. Currie, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.