James A. Speckman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037024 Issued in CA

Practice address

4080 Loma Vista Rd
Suite B
Ventura, CA 93003-1811

Phone

(805) 644-9751

Fax

(805) 644-0045

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336202878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-644-9751",
            "fax_number": "805-644-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-644-9751",
            "fax_number": "805-644-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECKMAN",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "037024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA TRICARE",
            "identifier": "621247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaqueline Soto
• Sound Inpatient Physicians Medical Group Inc
• Paul South
• Southern California Head Pain and Neurologic Institute Inc
• Jan Anthony Sovich, L.AC.,O.M.D.,
• Logan Speers, MSW
• Scott Speier, M.D.
• William Alfred Speitel, MD
• Coral Spencer, M.S. CCC-SLP
• Darius Terrence Spencer, P.A.

• General Practice Dentistry in Ventura, CA
• Providers in Ventura, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.