Individual provider Active NPI

James Arthur Bruce, D.M.D

  • Dentist
  • Coppell, TX
National Provider Identifier
1649409491
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0024760 Issued in TX
Practice address
120 S Denton Tap Rd
270-A
Coppell, TX 75019-3297
Phone
(972) 393-7348
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0024760 TX Primary
Dentist 122300000X 4506 SC

Addresses

Primary practice location

120 S Denton Tap Rd
270-A
Coppell, TX 75019-3297

Mailing address

3827 Gilbert Ave
Apt. 211
Dallas, TX 75219-4335
Phone (864) 617-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20150731014488 VA Order and Referring Only - DentistPractitioner - Dentist 0042524399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4506SCMDDentist
0024760TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1649409491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 GILBERT AVE",
            "address_2": "APT. 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194335",
            "telephone_number": "864-617-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S DENTON TAP RD",
            "address_2": "270-A",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193297",
            "telephone_number": "972-393-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0024760",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.