James W Halliday Jr DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D1148 Issued in AK

Legal business name

JAMES W HALLIDAY JR DMD LLC

Practice address

908 Highland Ave Ste 2
Kenai, AK 99611-8051

Phone

(907) 283-0454

Fax

(907) 283-0456

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James W Halliday Jr., DMDNPI 1821126780

Title

Dentist

Phone

(907) 283-0454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cook Inlet Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James William Halliday Jr., D.M.D.

  • General Practice Dentistry
  • Kenai, AK
  • NPI 1821126780
  NPD (past) Authorized official

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1699080432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 HIGHLAND AVE STE 1",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118051",
            "telephone_number": "907-283-0454",
            "fax_number": "907-283-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 HIGHLAND AVE STE 2",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118051",
            "telephone_number": "907-283-0454",
            "fax_number": "907-283-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W HALLIDAY JR DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "907-283-0454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "D1148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD9411",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Inlet Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan C Itano Merrick, ANP
• Jac Enterprises, Inc.
• Joann Lee Jackinsky
• Nina Jackson-Catalano
• Shanette Jackson
• Jennifer Tyler
• Carolyn Marie Johnson-Snowder, D.C.
• Amber Michele Johnson, FNP
• Venessa Grace Johnson
• Heather Lee Johnston

• Dental Clinic/Center in Kenai, AK
• Providers in Kenai, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.