Individual provider Active NPI

James Bradley Cantrell, DMD

  • General Practice Dentistry
  • Sneedville, TN
National Provider Identifier
1508474933
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11329 Issued in TN
Practice address
1861 Main St
Sneedville, TN 37869-3645
Phone
(423) 733-2131
Fax
(423) 733-1055
NPI assigned
Jul 22, 2020
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11329 TN Primary

Addresses

Primary practice location

1861 Main St
Sneedville, TN 37869-3645

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 921-6975

Other practice location 1

85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125001884 WV Practitioner - Dentist 6406272574 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11329TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc CurrentSince Jan 24, 2022 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Jan 24, 2022 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jan 24, 2022 Accepting new patients
Valley Health Systems Inc CurrentSince Jan 24, 2022 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

22 Fleming Dr
Harts, WV 25524
Phone (304) 855-4595

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

2908 Auburn Rd
Huntington, WV 25704
Phone (304) 781-5800

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: jcantrell20100@valleyhealthsystems.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1508474933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-921-6975",
            "fax_number": "423-921-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 MAIN ST",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378693645",
            "telephone_number": "423-733-2131",
            "fax_number": "423-733-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "JAMES",
        "middle_name": "BRADLEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-07-16",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneedville, TN

Sources for this page

Verify at the official NPI Registry.