Organization Active NPI

James T Jesse DDS Inc

  • Preferred Provider Organization
  • Colton, CA
National Provider Identifier
1790988665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
23785 Issued in CA
Legal business name
JAMES T JESSE DDS INC
Practice address
1000 E Washington St
Suite E
Colton, CA 92324-4186
Phone
(909) 825-7403
Fax
(909) 825-0117
NPI assigned
Jun 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James T JesseNPI 1962425017
Title
Dentist
Phone
(909) 825-7403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 23785 CA Primary

Addresses

Primary practice location

1000 E Washington St
Suite E
Colton, CA 92324-4186

Mailing address

1000 E Washington St
Suite E
Colton, CA 92324-4186
Phone (909) 825-7403

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790988665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E WASHINGTON ST",
            "address_2": "SUITE E",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244186",
            "telephone_number": "909-825-7403",
            "fax_number": "909-825-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WASHINGTON ST",
            "address_2": "SUITE E",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244186",
            "telephone_number": "909-825-7403",
            "fax_number": "909-825-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T JESSE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JESSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-825-7403",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "23785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.