Active NPI
James Deboer, DDS
- Prosthodontics
- El Paso, TX
National Provider Identifier
1619039088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 17702
- Practice address
- 6955 N Mesa
Suite 101
El Paso, TX 79912 - Phone
- (915) 845-7110
- Fax
- (915) 885-7112
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 17702 | TX | Primary |
Addresses
Primary practice location
6955 N Mesa
Suite 101
El Paso, TX 79912
Mailing address
6955 N Mesa
Suite 101
El Paso, TX 79912
Phone (915) 845-7110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17702 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619039088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 N MESA",
"address_2": "SUITE 101",
"city": "EL PASO",
"state": "TX",
"postal_code": "79912",
"telephone_number": "915-845-7110",
"fax_number": "915-885-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 N MESA",
"address_2": "SUITE 101",
"city": "EL PASO",
"state": "TX",
"postal_code": "79912",
"telephone_number": "915-845-7110",
"fax_number": "915-885-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOER",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "17702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.