James Willis Pledger II, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8334 Issued in TN

Practice address

2807 N Knoxville Ave
Peoria, IL 61604-2869

Phone

(309) 682-1213

NPI assigned

Jan 2, 2007

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 28, 2023 through Jun 28, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Brazos Oral & Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Katy, TX
  • NPI 1942685276
  NPD (past) Authorized official
• Western Illinois Oral & Maxillofacial Surgery, LTD.

  • Oral and Maxillofacial Surgery (Dentist)
  • Galesburg, IL
  • NPI 1932232287
  NPD (past)
• Ky TN Oral Surgery PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Murray, KY
  • NPI 1093077166

  Oral and Maxillofacial Surgery

  NPD (past)
• Memorial Oral and Maxillofacial Surgery of Katy/Fulshear

  dba Brazos Oral and Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Katy, TX
  • NPI 1255855839
  NPD (past)
• Michael L Bobo DDS MD PSC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Murray, KY
  • NPI 1518141100

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1265599864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042869",
            "telephone_number": "309-682-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042869",
            "telephone_number": "309-682-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEDGER",
        "first_name": "JAMES",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "8334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Illinois
• Plattner Orthopedic Company (Hanger Clinic Plattner)
• Plattner Pedorthic Services
• Pleasant Hill School Dist 69
• Pleasant Valley SCH Dist 62
• Claudia Plumer, APN
• Mark D Plunkett, MD
• Tara L Plunkett, APN
• Patricia A Poertner, LCPC
• Edith Marie Pohland, LCP

• Oral and Maxillofacial Surgery (Dentist) in Peoria, IL
• Providers in Peoria, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.