Individual provider Active NPI

James Buford Lea, DDS

  • Dentist
  • Grand Saline, TX
National Provider Identifier
1285747451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TX12857 Issued in TX
Practice address
200B West Frank St
Grand Saline, TX 75140-1758
Phone
(903) 962-5556
Fax
(903) 962-6717
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X TX12857 TX Primary

Addresses

Primary practice location

200B West Frank St
Grand Saline, TX 75140-1758

Mailing address

200B West Frank St
Grand Saline, TX 75140-1758
Phone (903) 962-5556

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 28, 2015 through Jul 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12857TXMDChiropractor
TX12857TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285747451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200B WEST FRANK ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401758",
            "telephone_number": "903-962-5556",
            "fax_number": "903-962-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200B WEST FRANK ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401758",
            "telephone_number": "903-962-5556",
            "fax_number": "903-962-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "JAMES",
        "middle_name": "BUFORD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX12857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Saline, TX

Sources for this page

Verify at the official NPI Registry.