James Ernest Colbert III, D.D.S.

Key facts

NPI

1598028672

Entity type

Individual (NPI type 1)

Primary specialty

Dentist 122300000X

License

9527 (TN)

Practice address

1813 Wilson Pkwy
Fayetteville, TN 37334-3546

Phone

(931) 433-5914

Fax

(931) 433-7481

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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

• Colbert Family Densistry General Practice Dentistry · Fayetteville, TN · NPI 1508441551
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2012.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1598028672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 OLD MULBERRY RD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373347044",
            "telephone_number": "931-993-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 WILSON PKWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343546",
            "telephone_number": "931-433-5914",
            "fax_number": "931-433-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "JAMES",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

• Robert Lewis Clark, RPH.
• Richard William Cline Jr., D.O.
• Rudy Theodore Cobb, M.D.
• Colbert Family Densistry
• James E Colbert, DDS
• John C Compton, CRNA
• Lorelei B Corder, PHARMD
• Kyle Cravey, M.S., LAT, ATC
• Crossroads Treatment Centers of Tennessee, P.C.
• David Crump, M.D.

All providers in Fayetteville, TN · Dentist in Tennessee