Individual provider Active NPI

James McIntosh, DDS

  • Endodontics
  • Abilene, TX
National Provider Identifier
1265039663
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
40970 Issued in TX
Practice address
5849 Buffalo Gap Rd Ste C
Abilene, TX 79606-1264
Phone
(325) 704-5001
Fax
(325) 704-5141
NPI assigned
Oct 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 40970 TX Primary

Addresses

Primary practice location

5849 Buffalo Gap Rd Ste C
Abilene, TX 79606-1264

Mailing address

5849 Buffalo Gap Rd Ste C
Abilene, TX 79606-1264
Phone (325) 704-5001

Other practice location 1

2014 W Beauregard Ave
San Angelo, TX 76901-3813
Phone (325) 947-3040

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
40970TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Endodontics, PC Endodontics CurrentSince Nov 24, 2024 Accepting new patients
Reid V. Pullen, D.D.S., P.C. Endodontics PastSince Oct 1, 2020 Accepting new patients
San Angelo Endodontics, PC Endodontics Past Accepting new patients

Locations

5849 Buffalo Gap Rd
Ste C
Abilene, TX 79606
Phone (325) 704-5001

Organizations & group practices 3

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1265039663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 BUFFALO GAP RD STE C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061264",
            "telephone_number": "325-704-5001",
            "fax_number": "325-704-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 BUFFALO GAP RD STE C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061264",
            "telephone_number": "325-704-5001",
            "fax_number": "325-704-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 W Beauregard Ave",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769013813",
            "country_code": "US",
            "telephone_number": "325-947-3040",
            "fax_number": "325-947-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "40970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.