James Allen Sisson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010191 Issued in IN

Practice address

7550 S. State Road 67
Pendleton, IN 46064-9280

Phone

(765) 778-2700

Fax

(765) 778-8600

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sisson Family Dentistry Inc

  • Dental Clinic/Center
  • Pendleton, IN
  • NPI 1972067569
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1720002942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 S. STATE ROAD 67",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649280",
            "telephone_number": "765-778-2700",
            "fax_number": "765-778-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 S. STATE ROAD 67",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649280",
            "telephone_number": "765-778-2700",
            "fax_number": "765-778-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200242770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Schaefer, FNP
• Constance Schultz-Heinz
• Alvin G Sehkar
• Simply Nursing LLC
• Sisson Family Dentistry Inc
• Michael V Smith Jr., PH.D.
• South Madison Community School Corporation
• Jennifer A Southard, D.D.S.
• Susan Spencer, ED.D.
• Payton Spoor

• General Practice Dentistry in Pendleton, IN
• Providers in Pendleton, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.