Individual provider Active NPI

James Osterkamp, D.M.D.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1720494131
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4651 Issued in ID
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408001340 ID Order and Referring Only - DentistPractitioner - Dentist 3476851361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.