James Bryan Barnum, D.M.D.
Individual provider Active NPI Dentist · Wallowa, OR
NPI 1659511673 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1659511673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D9245 (OR)
- Practice address
- 207 E. 1St St
Wallowa, OR 97885 - Phone
- (541) 605-3710
- NPI assigned
- Mar 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9245 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. James B Barnum, DMD LLC | Past | Accepting new patients | |
| Natalija Kokoreva DDS LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9245 | OR | Yes |
Addresses
Primary practice location
207 E. 1St St
Wallowa, OR 97885
Mailing address
PO Box 602
Wallowa, OR 97885-0602
Phone (541) 605-3710
Other providers in Wallowa, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.