Active NPI
James Walter Gamble Jr., D.M.D.
- Dentist
- Greeneville, TN
National Provider Identifier
1275749665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000007179
- Practice address
- 112 Spencer St
Greeneville, TN 37745-3822 - Phone
- (423) 639-9131
- Fax
- (423) 639-0669
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000007179 | TN | Primary |
Addresses
Primary practice location
112 Spencer St
Greeneville, TN 37745-3822
Mailing address
112 Spencer St
Greeneville, TN 37745-3822
Phone (423) 639-9131
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000007179 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275749665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SPENCER ST",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377453822",
"telephone_number": "423-639-9131",
"fax_number": "423-639-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SPENCER ST",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377453822",
"telephone_number": "423-639-9131",
"fax_number": "423-639-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "JAMES",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000007179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
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.