Individual provider Active NPI

James D. Hamberlin, D.D.S.

  • Endodontics
  • Mesa, AZ
National Provider Identifier
1255493151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4817 Issued in AZ
Practice address
1056 S Val Vista Dr Ste 3
Mesa, AZ 85204-5671
Phone
(480) 396-6100
Fax
(480) 396-7476
NPI assigned
Dec 15, 2006
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
Endodontics 1223E0200X 4817 AZ Primary

Addresses

Primary practice location

1056 S Val Vista Dr Ste 3
Mesa, AZ 85204-5671

Mailing address

1056 S Val Vista Dr Ste 3
Mesa, AZ 85204-5671
Phone (480) 396-6100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4817AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Mountain Endodontics Endodontics Past Accepting new patients
Red Mountain Endodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255493151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045671",
            "telephone_number": "480-396-6100",
            "fax_number": "480-396-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 S VAL VISTA DR STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045671",
            "telephone_number": "480-396-6100",
            "fax_number": "480-396-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBERLIN",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.