James E Telloian, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006442 Issued in WA

Practice address

1930 Black Lake Blvd SW
Olympia, WA 98512-5651

Phone

(360) 352-0847

Fax

(360) 352-2029

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• James E Telloian DDS

  • Dental Clinic/Center
  • Olympia, WA
  • NPI 1609715556
  NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629190640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BLACK LAKE BLVD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125651",
            "telephone_number": "360-352-0847",
            "fax_number": "360-352-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BLACK LAKE BLVD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125651",
            "telephone_number": "360-352-0847",
            "fax_number": "360-352-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLOIAN",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "DE00006442",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Telecare Mental Health Services of Washington, Inc (Telecare New Journeys Thurston/Mason County)
• Telecare Mental Health Services of Washington, Inc. (Telecare Olympia Next Steps)
• Telecare Mental Health Services of Washington, Inc. (Telecare Thurston T-CAT)
• Elijah Telfare, P.A.
• Jace Telloian, M.S. SLP-CF
• Trista Lynn Martin Tempke
• Corynn Marie Templet
• Jayme Tener
• Yue Teng, M.D.
• Amber Leeanne Ter Maaten

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.