Organization Active NPI

James R. Willcox, DMD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, AZ
National Provider Identifier
1376755769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3346 Issued in AZ
Legal business name
JAMES R. WILLCOX, DMD, PC
Practice address
13619 N 59TH Ave
Glendale, AZ 85304-1203
Phone
(602) 978-3000
Fax
(602) 468-2894
NPI assigned
May 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James R. Willcox, D.M.D.
Title
President
Phone
(602) 978-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3346 AZ Primary

Addresses

Primary practice location

13619 N 59TH Ave
Glendale, AZ 85304-1203

Mailing address

13619 N 59TH Ave
Glendale, AZ 85304-1203
Phone (602) 978-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376755769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13619 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041203",
            "telephone_number": "602-978-3000",
            "fax_number": "602-468-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13619 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041203",
            "telephone_number": "602-978-3000",
            "fax_number": "602-468-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. WILLCOX, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLCOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-978-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "3346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.