James D. Enloe, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

8043 Issued in IA

Legal business name

JAMES D. ENLOE, DDS, PC

Practice address

415 E Main St
Ottumwa, IA 52501-3027

Phone

(641) 684-0215

Fax

(641) 684-5072

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James D Enloe, D.D.S.NPI 1770590119

Title

Owner

Phone

(641) 684-0215

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Devon Enloe, DDS

  • General Practice Dentistry
  • Ottumwa, IA
  • NPI 1770590119
  NPD (past) Authorized official
• Brandon James Enloe, DDS

  • General Practice Dentistry
  • Ottumwa, IA
  • NPI 1720782931
  NPD (past)
• Kelly Michael Huston, D.D.S.

  • General Practice Dentistry
  • Ottumwa, IA
  • NPI 1003171497
  NPD (past)

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1326383175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013027",
            "telephone_number": "641-684-0215",
            "fax_number": "641-684-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013027",
            "telephone_number": "641-684-0215",
            "fax_number": "641-684-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. ENLOE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-684-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "8043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443770",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Raegan Renee Johns, ARNP

• Dentist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.