Individual provider Active NPI

James A. Lord, DDS

  • General Practice Dentistry
  • Middleton, WI
National Provider Identifier
1255349429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3250-015 Issued in WI
Practice address
1001 N Gammon Rd
Suite #1
Middleton, WI 53562-3874
Phone
(608) 831-5151
Fax
(608) 831-3194
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3250-015 WI Primary

Addresses

Primary practice location

1001 N Gammon Rd
Suite #1
Middleton, WI 53562-3874

Mailing address

1001 N Gammon Rd
Suite #1
Middleton, WI 53562-3874
Phone (608) 831-5151

Other identifiers 1

IdentifierTypeStateIssuer
33711200MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150414001156 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305164831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3250-015WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Applewhite Dental Wisconsin, P.C. General Practice PastSince Jul 28, 2019 Accepting new patients
James Lord DDS ,SC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255349429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N GAMMON RD",
            "address_2": "SUITE #1",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623874",
            "telephone_number": "608-831-5151",
            "fax_number": "608-831-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GAMMON RD",
            "address_2": "SUITE #1",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623874",
            "telephone_number": "608-831-5151",
            "fax_number": "608-831-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3250-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33711200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.