James Victor Iverstine, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3419 Issued in LA

Practice address

207 Serio Blvd
Ferriday, LA 71334-2014

Phone

(318) 757-4561

Fax

(318) 757-4595

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jim Iverstine, D.D.S., Apc

  • General Practice Dentistry
  • Ferriday, LA
  • NPI 1417250382
  NPD (past) Authorized official
• Miss-Lou Dental LLC

  • General Practice Dentistry
  • Natchez, MS
  • NPI 1760818017
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750465118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342014",
            "telephone_number": "318-757-4561",
            "fax_number": "318-757-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342014",
            "telephone_number": "318-757-4561",
            "fax_number": "318-757-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSTINE",
        "first_name": "JAMES",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinkey Skipper Henderson
• Kailey Hutchins Hicks, FNP-BC
• Kara Shannon Hodge, RDN, LDN
• Ta Yu Huang, MD
• Casey Lynn Iverstine, D.D.S
• Kai'Daryia D Jackson, RSW
• Shanda Jackson, FNP-C
• Jim Iverstine, D.D.S., Apc
• Joseph Johnson
• Ashanta Rene Jones, FNP-C

• General Practice Dentistry in Ferriday, LA
• Providers in Ferriday, LA by specialty
• General Practice Dentistry in Louisiana

• 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.