Organization Active NPI

James C. Bawden III, D.D.S. Inc.

  • Dental Clinic/Center
  • Fairfield, CA
National Provider Identifier
1568471654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
CA 25119 Issued in CA
Legal business name
JAMES C. BAWDEN III, D.D.S. INC.
Practice address
1700 Pennsylvania Ave
Suite D.
Fairfield, CA 94533-3588
Phone
(707) 429-9550
Fax
(707) 429-1465
NPI assigned
Aug 7, 2006
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 Clinton Bawden III, D.D.S.NPI 1417060716
Title
Owner/President
Phone
(707) 429-9550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CA 25119 CA Primary

Addresses

Primary practice location

1700 Pennsylvania Ave
Suite D.
Fairfield, CA 94533-3588

Mailing address

1700 Pennsylvania Ave
Suite D.
Fairfield, CA 94533-3588
Phone (707) 429-9550

National Provider Directory

National Provider Directory

Locations

1700 Pennsylvania Ave
Ste D
Fairfield, CA 94533
Phone (707) 429-9550

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568471654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE",
            "address_2": "SUITE D.",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333588",
            "telephone_number": "707-429-9550",
            "fax_number": "707-429-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE",
            "address_2": "SUITE D.",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333588",
            "telephone_number": "707-429-9550",
            "fax_number": "707-429-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C. BAWDEN III, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAWDEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-429-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "CA 25119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

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.