Individual provider Active NPI

James Ridge Hamberlin, DDS

  • General Practice Dentistry
  • San Marcos, TX
National Provider Identifier
1831032580
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42421 Issued in TX
Practice address
200 Springtown Way Ste 108
San Marcos, TX 78666-3856
Phone
(512) 717-6053
NPI assigned
Apr 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42421 TX Primary

Addresses

Primary practice location

200 Springtown Way Ste 108
San Marcos, TX 78666-3856

Mailing address

5455 E Garnet Ave
Mesa, AZ 85206-6704
Phone (480) 428-9935

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D012727AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Dental of San Marcos PLLC PastSince May 21, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1831032580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 E GARNET AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066704",
            "telephone_number": "480-428-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGTOWN WAY STE 108",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786663856",
            "telephone_number": "512-717-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBERLIN",
        "first_name": "JAMES",
        "middle_name": "RIDGE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.