Individual provider Active NPI

James Pollard, DDS

  • Dentist
  • Ames, IA
National Provider Identifier
1215922984
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
06214 Issued in IA
Practice address
1620 S Kellogg Ave Ste 107
Ames, IA 50010
Phone
(515) 233-3303
Fax
(515) 232-1256
NPI assigned
Sep 19, 2005
Last updated
Jun 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 06214 IA Primary

Addresses

Primary practice location

1620 S Kellogg Ave Ste 107
Ames, IA 50010

Mailing address

1620 S Kellogg Ave Ste 107
Ames, IA 50010-8001
Phone (515) 233-3303

Other practice location 1

2335 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1918
Phone (319) 378-4100

Other practice location 2

3602 NE Otterview Cir Ste C
Ankeny, IA 50021-7769
Phone (515) 965-6966

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
06214IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jensen Dental Solutions & Consulting 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1215922984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S KELLOGG AVE STE 107",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108001",
            "telephone_number": "515-233-3303",
            "fax_number": "515-232-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S KELLOGG AVE STE 107",
            "city": "AMES",
            "state": "IA",
            "postal_code": "50010",
            "telephone_number": "515-233-3303",
            "fax_number": "515-232-1256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Blairs Ferry Rd NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524021918",
            "country_code": "US",
            "telephone_number": "319-378-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3602 NE Otterview Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500217769",
            "country_code": "US",
            "telephone_number": "515-965-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "06214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.