Individual provider Active NPI

James C Lish, DDS

  • Prosthodontics
  • Norfolk, VA
National Provider Identifier
1770899858
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401417833 Issued in VA
Practice address
1647 Adm Taussig Blvd
Attn Dr. Lish
Norfolk, VA 23518
Phone
(757) 953-8506
NPI assigned
Aug 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0401417833 VA Primary

Addresses

Primary practice location

1647 Adm Taussig Blvd
Attn Dr. Lish
Norfolk, VA 23518

Mailing address

9601 6TH Bay St
Norfolk, VA 23518-1107

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.c.lish.mil@health.mil

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220901000966 VA Order and Referring Only - DentistPractitioner - Dentist 2769866243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1770899858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 6TH BAY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 ADM TAUSSIG BLVD",
            "address_2": "ATTN DR. LISH",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23518",
            "telephone_number": "757-953-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISH",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401417833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.c.lish.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "1647 Adm Taussig Blvd",
            "address_2": "Attn Dr. Lish",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.