Individual provider Active NPI

James Colt Beddes, DDS

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1306283544
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7081 Issued in NE
Practice address
6040 Village Dr
Lincoln, NE 68516-6640
Phone
(307) 277-6272
NPI assigned
May 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7081 NE Primary

Addresses

Primary practice location

6040 Village Dr
Lincoln, NE 68516-6640

Mailing address

4500 Starr St
Apt. 2
Lincoln, NE 68503-2338
Phone (307) 277-6272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011001242 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274821053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1306283544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 STARR ST",
            "address_2": "APT. 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685032338",
            "telephone_number": "307-277-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166640",
            "telephone_number": "307-277-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDES",
        "first_name": "JAMES",
        "middle_name": "COLT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.