Individual provider Active NPI

James Franklin Willbrand, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Peters, MO
National Provider Identifier
1629282520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
013955 Issued in MO
Practice address
4101 Mexico Rd
Suite O
Saint Peters, MO 63376-6414
Phone
(636) 928-8286
Fax
(636) 447-7012
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 013955 MO Primary

Addresses

Primary practice location

4101 Mexico Rd
Suite O
Saint Peters, MO 63376-6414

Mailing address

4101 Mexico Rd
Suite O
Saint Peters, MO 63376-6414
Phone (636) 928-8286

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
013955MOMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629282520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MEXICO RD",
            "address_2": "SUITE O",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766414",
            "telephone_number": "636-928-8286",
            "fax_number": "636-447-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MEXICO RD",
            "address_2": "SUITE O",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766414",
            "telephone_number": "636-928-8286",
            "fax_number": "636-447-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLBRAND",
        "first_name": "JAMES",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "013955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

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.

Verify at the official NPI Registry.