James David Purdy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5625 Issued in WI

Practice address

745 Sommers St N
Hudson, WI 54016-2314

Phone

(715) 381-9785

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225118508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 SOMMERS ST N",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162314",
            "telephone_number": "715-381-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 SOMMERS ST N",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162314",
            "telephone_number": "715-381-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5625",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33781000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Rose Priebe, PSY.D., P.C
• Heather Marie Printz, OTR/L
• Promed Preferred Wi SC
• Katherine M Prozeller, PSYD, MA, MBA
• Lisa Pulkrabek Juettner, RN
• Kimberly Marie Quayle, OTR
• Wafa A Qureshi, DDS
• Elizabeth Joanne Radford, CNM
• Alexa Anastasia Raehsler
• Rainbow Tree Connections

• General Practice Dentistry in Hudson, WI
• Providers in Hudson, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.