Individual provider Active NPI

John J. Adams, M.D.

  • General Practice Physician
  • Sedona, AZ
National Provider Identifier
1316065808
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
AZ H #037 Issued in AZ
Practice address
299 Van Deren Rd Unit 3
Sedona, AZ 86336-4873
Phone
(928) 282-3014
Fax
(928) 282-3934
NPI assigned
Mar 26, 2007
Last updated
Aug 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X AZ H #037 AZ Primary
General Practice Physician 208D00000X G-37777 CA

Addresses

Primary practice location

299 Van Deren Rd Unit 3
Sedona, AZ 86336-4873

Mailing address

299 Van Deren Rd Unit 3
Sedona, AZ 86336-4873
Phone (928) 282-3014

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ H #037AZMDGeneral Practice Physician
G-37777CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1316065808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 VAN DEREN RD UNIT 3",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364873",
            "telephone_number": "928-282-3014",
            "fax_number": "928-282-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 VAN DEREN RD UNIT 3",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364873",
            "telephone_number": "928-282-3014",
            "fax_number": "928-282-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "AZ H #037",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G-37777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.