James E Colbert, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4139 Issued in TN

Practice address

1813 Wilson Pkwy
Fayetteville, TN 37334-3546

Phone

(931) 433-5914

Fax

(931) 433-7481

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Colbert Family Densistry

  • General Practice Dentistry
  • Fayetteville, TN
  • NPI 1508441551
  NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265533285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373341046",
            "telephone_number": "931-433-5914",
            "fax_number": "931-433-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 WILSON PKWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343546",
            "telephone_number": "931-433-5914",
            "fax_number": "931-433-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN PROVIDER NUMBER",
            "identifier": "0116983",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Clark
• Robert Lewis Clark, RPH.
• Richard William Cline Jr., D.O.
• Rudy Theodore Cobb, M.D.
• Colbert Family Densistry
• James Ernest Colbert III, D.D.S.
• John C Compton, CRNA
• Lorelei B Corder, PHARMD
• Kyle Cravey, M.S., LAT, ATC
• Crossroads Treatment Centers of Tennessee, P.C.

• General Practice Dentistry in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• General Practice Dentistry in Tennessee

• 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.