Organization Active NPI

James G Alexander Jr DDS MD PLLC

  • Family Medicine Physician
  • West Memphis, AR
National Provider Identifier
1255454336
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AR3562 Issued in AR
Legal business name
JAMES G ALEXANDER JR DDS MD PLLC
Practice address
228 W Tyler Ave
Ste 307
West Memphis, AR 72301-4223
Phone
(870) 735-1152
Fax
(870) 735-4098
NPI assigned
Apr 6, 2007
Last updated
Nov 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. James G Alexander Jr., M.D.
Title
PLLC Member
Phone
(870) 735-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AR3562 AR Primary

Addresses

Primary practice location

228 W Tyler Ave
Ste 307
West Memphis, AR 72301-4223

Mailing address

228 W Tyler Ave Ste 307
P.O. Box 907
West Memphis, AR 72303-0907
Phone (870) 735-1152

Other identifiers 8

IdentifierTypeStateIssuer
4112951OtherTNTENNESSEE BCBS
4185464MedicaidTN
50999OtherARABCBS
P00219773OtherRR MEDICARE INDIVIDUAL PTAN
112939001MedicaidAR
59309OtherARAR M'CARE GROUP PTAN
50999OtherARAR M'CARE GROUP MBR PTAN
DD2979OtherRR MEDICARE GROUP PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1255454336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W TYLER AVE STE 307",
            "address_2": "P.O. BOX 907",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723030907",
            "telephone_number": "870-735-1152",
            "fax_number": "870-735-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W TYLER AVE",
            "address_2": "STE 307",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014223",
            "telephone_number": "870-735-1152",
            "fax_number": "870-735-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G ALEXANDER JR DDS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PLLC MEMBER",
        "authorized_official_telephone_number": "870-735-1152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "AR3562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE BCBS",
            "identifier": "4112951",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4185464",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS",
            "identifier": "50999",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL PTAN",
            "identifier": "P00219773",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112939001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR M'CARE GROUP PTAN",
            "identifier": "59309",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR M'CARE GROUP MBR PTAN",
            "identifier": "50999",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PTAN",
            "identifier": "DD2979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.