Active NPI
James Osterkamp, D.M.D.
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1720494131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4651
- Practice address
- 3250 N Campbell Ave
Suite 116
Tucson, AZ 85719-7311 - Phone
- (520) 881-8995
- NPI assigned
- Jul 7, 2014
- Last updated
- Feb 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4651 | ID | Primary |
Addresses
Primary practice location
3250 N Campbell Ave
Suite 116
Tucson, AZ 85719-7311
Mailing address
1675 W Hill Rd
Apt 12104
Boise, ID 83702-0982
Phone (208) 342-3695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160408001340 | ID | Order and Referring Only - Dentist | 3476851361 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Dental Care Providers, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Associated Dental Care Tucson - Campbell
- General Practice Dentistry
- Tucson, AZ
- NPI 1114053725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1720494131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 W HILL RD",
"address_2": "APT 12104",
"city": "BOISE",
"state": "ID",
"postal_code": "837020982",
"telephone_number": "208-342-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 N CAMPBELL AVE",
"address_2": "SUITE 116",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857197311",
"telephone_number": "520-881-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTERKAMP",
"first_name": "JAMES",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-07",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "4651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.