James Robert Hughes, D.M.D.
Individual provider Active NPI Dentist · MC Calla, AL
NPI 1295900751 · NPPES record last updated Apr 25, 2008
Key facts
- NPI
- 1295900751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5334 (AL)
- Practice address
- 4817 McAdory School Rd
Suite 105
MC Calla, AL 35111-3452 - Phone
- (205) 428-0007
- Fax
- (205) 428-0085
- NPI assigned
- Apr 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715001306 | AL | Order and Referring Only - Oral Surgery |
5597078873 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5334 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custom Dentures P.C. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5334 | AL | Yes |
Addresses
Primary practice location
4817 McAdory School Rd
Suite 105
MC Calla, AL 35111-3452
Mailing address
4817 McAdory School Road
Suite 105
McCalla, AL 35111-3452
Phone (205) 428-0007
Other providers in MC Calla, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.