Active NPI
James Andrew Macrobert, DDS
- General Practice Dentistry
- Mangum, OK
National Provider Identifier
1649280710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2808
- Practice address
- 230 E Jefferson St
Mangum, OK 73554-4202 - Phone
- (580) 782-2552
- Fax
- (580) 782-9266
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2808 | OK | Primary |
Addresses
Primary practice location
230 E Jefferson St
Mangum, OK 73554-4202
Mailing address
110 W Harrison St
Mangum, OK 73554-3002
Phone (580) 782-2552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2808 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Sleep Solutions, Inc. | General Practice | Past | Accepting new patients |
| Shortgrass Community Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Mangum, OK
- NPI 1194295741
-
- Federally Qualified Health Center (FQHC)
- Hollis, OK
- NPI 1255695201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649280710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W HARRISON ST",
"city": "MANGUM",
"state": "OK",
"postal_code": "735543002",
"telephone_number": "580-782-2552",
"fax_number": "580-782-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E JEFFERSON ST",
"city": "MANGUM",
"state": "OK",
"postal_code": "735544202",
"telephone_number": "580-782-2552",
"fax_number": "580-782-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACROBERT",
"first_name": "JAMES",
"middle_name": "ANDREW",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "2808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mangum, OK
- Shelly J Larson, CADC
- Angela Little, MS/CCC-SLP
- Dustin Curt Lively, DDS
- Benjamin Moses Locklear, D.C.
- Della Logsdon, PRSS
- Mangum City Hospital Authority (Mangum Regional Medical Center)
- Mangum City Hospital Authority (Mangum Regional Medical Center)
- Mangum City Hospital Authority
- Mangum City Hospital Authority (Mangum Family Clinic)
- Mangum Drug Co. LLC (Mangum Drug Co.)
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.