Organization Active NPI

James E. Dumas, DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Wayne, IN
National Provider Identifier
1326421637
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12006094A Issued in IN
Legal business name
JAMES E. DUMAS, DDS, PC
Doing business as
Summit Oral & Maxillofacial Surgery
Practice address
10020 Dupont Circle CT.
Suite 150
Fort Wayne, IN 46825-1635
Phone
(260) 451-2000
Fax
(260) 451-2200
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Dr. James E. Dumas, DDS
Title
Oral Surgeon
Phone
(260) 451-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 12006094A IN Primary

Addresses

Primary practice location

10020 Dupont Circle CT.
Suite 150
Fort Wayne, IN 46825-1635

Mailing address

10020 Dupont Circle CT.
Suite 150
Fort Wayne, IN 46825-1635
Phone (260) 451-2000

Other identifiers 1

IdentifierTypeStateIssuer
1700804085MedicaidIN

Other names 1

  • Summit Oral & Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

10020 DuPont Circle Ct
Ste 150
Fort Wayne, IN 46825
Phone (260) 203-4920

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1326421637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 DUPONT CIRCLE CT.",
            "address_2": "SUITE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251635",
            "telephone_number": "260-451-2000",
            "fax_number": "260-451-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 DUPONT CIRCLE CT.",
            "address_2": "SUITE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251635",
            "telephone_number": "260-451-2000",
            "fax_number": "260-451-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. DUMAS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "260-451-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12006094A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700804085",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.