Active NPI
J Thad Shirey, DDS
- Dentist
- Booneville, AR
National Provider Identifier
1801907142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2222
- Practice address
- 1090 Hwy 10 East
Booneville, AR 72927 - Phone
- (479) 675-2009
- Fax
- (479) 675-5446
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2222 | AR | Primary |
Addresses
Primary practice location
1090 Hwy 10 East
Booneville, AR 72927
Mailing address
PO Box 477
Booneville, AR 72927
Phone (479) 675-2009
Other names 1
- Dr. James T Shirey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801907142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 477",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "72927",
"telephone_number": "479-675-2009",
"fax_number": "479-675-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 HWY 10 EAST",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "72927",
"telephone_number": "479-675-2009",
"fax_number": "479-675-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIREY",
"first_name": "J",
"middle_name": "THAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "SHIREY",
"middle_name": "T",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Booneville, AR
Sources for this page
- 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.