Individual provider Active NPI

James Lowell Pincock, MD DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Carson City, NV
National Provider Identifier
1801961859
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
MD6631 Issued in NV
Practice address
1470 Medical Parkway
Ste #260
Carson City, NV 89703
Phone
(775) 884-4433
Fax
(775) 884-4459
NPI assigned
Nov 22, 2006
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD6631 NV
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD6631 NV Primary

Addresses

Primary practice location

1470 Medical Parkway
Ste #260
Carson City, NV 89703

Mailing address

1470 Medical Pkwy
Ste #260
Carson City, NV 89703-4648
Phone (775) 884-4433

Other identifiers 1

IdentifierTypeStateIssuer
1801961859MedicaidNV

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD6631NVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven V Dryden DDS PLLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1801961859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 MEDICAL PKWY",
            "address_2": "STE #260",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034648",
            "telephone_number": "775-884-4433",
            "fax_number": "775-884-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 MEDICAL PARKWAY",
            "address_2": "STE #260",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89703",
            "telephone_number": "775-884-4433",
            "fax_number": "775-884-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCOCK",
        "first_name": "JAMES",
        "middle_name": "LOWELL",
        "credential": "MD DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "MD6631",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NV",
            "license": "MD6631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801961859",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.