Individual provider Active NPI

James Francis Smith, DDS JD

  • Prosthodontics
  • Omaha, NE
National Provider Identifier
1720175524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
3717 Issued in NE
Practice address
4239 Farnam Street
The Doctors Building South Tower Suite # 234
Omaha, NE 68131-2865
Phone
(402) 551-5888
Fax
(402) 552-3094
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 3717 NE Primary

Addresses

Primary practice location

4239 Farnam Street
The Doctors Building South Tower Suite # 234
Omaha, NE 68131-2865

Mailing address

4239 Farnam Street
The Doctors Building South Tower Suite # 234
Omaha, NE 68131
Phone (402) 551-5888

Other identifiers 1

IdentifierTypeStateIssuer
3717OtherNENE BOARD OF DENTAL EXAMIN

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
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
3717NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720175524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 FARNAM STREET",
            "address_2": "THE DOCTORS BUILDING SOUTH TOWER SUITE # 234",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68131",
            "telephone_number": "402-551-5888",
            "fax_number": "402-552-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 FARNAM STREET",
            "address_2": "THE DOCTORS BUILDING SOUTH TOWER SUITE # 234",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312865",
            "telephone_number": "402-551-5888",
            "fax_number": "402-552-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NE",
            "license": "3717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE BOARD OF DENTAL EXAMIN",
            "identifier": "3717",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

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.

Verify at the official NPI Registry.