Individual provider Active NPI

James Wesley Ohman, DDS

  • Dentist
  • Spokane, WA
National Provider Identifier
1740496454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5025 Issued in WA
Practice address
3154 E 29TH Ave
Spokane, WA 99223-4861
Phone
(506) 535-4607
Fax
(509) 535-3021
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Dentist 122300000X 5025 WA Primary

Addresses

Primary practice location

3154 E 29TH Ave
Spokane, WA 99223-4861

Mailing address

3154 E 29TH Ave
Spokane, WA 99223-4861
Phone (506) 535-4607

Other identifiers 3

IdentifierTypeStateIssuer
1514OtherMTSTATE OF MONTANA INACTIVE
5521406MedicaidWA
0087830OtherWALABOR AND INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160204000230 WA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3476857921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5025WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740496454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234861",
            "telephone_number": "506-535-4607",
            "fax_number": "509-535-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234861",
            "telephone_number": "506-535-4607",
            "fax_number": "509-535-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHMAN",
        "first_name": "JAMES",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA INACTIVE",
            "identifier": "1514",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5521406",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0087830",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.