James C. Wallace DDS

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

32514 Issued in CA

Legal business name

JAMES C. WALLACE DDS

Practice address

122 Bank St
Grass Valley, CA 95945-6520

Phone

(530) 273-4814

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. James C. Wallace, D.D.S.

Title

Owner

Phone

(530) 273-4814

Specialties & licenses 1

Addresses

Other names 1

• Grass Valley Dentistry Doing business as

Locations

Practitioners 2

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

• Michael F. Gallego, DDS

  • General Practice Dentistry
  • Grass Valley, CA
  • NPI 1154542017
  NPD (past)
• Christopher Hailey, DDS

  • General Practice Dentistry
  • Grass Valley, CA
  • NPI 1902759103
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1366808362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BANK ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456520",
            "telephone_number": "530-273-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BANK ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456520",
            "telephone_number": "530-273-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C. WALLACE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-273-4814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "32514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grass Valley Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Jacobson
• Jacquelyn Crane Jacona
• Lindsay Jacquier
• Nichole Suzanne Jaerger
• Paul A. Jaffe, L.C.S.W.
• Jacqueline James
• Janam Gill DDS
• Carl Frederick Jefferson, C.A.S.
• Ethan Shakeel Jefferson, PA-C
• Lavurne Jeffreys

• Preferred Provider Organization in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.