Active NPI
James Barry Holton, D.D.S., M.S.D.
- Oral and Maxillofacial Pathology Dentistry
- Tyler, TX
National Provider Identifier
1841371135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- TX8681
- Practice address
- 805 Turtle Creek Dr
Tyler, TX 75701-1937 - Phone
- (903) 592-1664
- Fax
- (903) 592-6595
- NPI assigned
- Oct 17, 2006
- Last updated
- Dec 5, 2014
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | TX8681 | TX | Primary |
Addresses
Primary practice location
805 Turtle Creek Dr
Tyler, TX 75701-1937
Mailing address
805 Turtle Creek Dr
Tyler, TX 75701-1937
Phone (903) 592-1664
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130586404 | Medicaid | TX | |
| 130586406 | Medicaid | TX | |
| 751572652 | Other | TX | TAX ID# |
| 130586402 | Medicaid | TX | |
| 00L740 | Other | TX | BC/BS # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX8681 | TX | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Medical Center | Past | Accepting new patients | |
| Turtle Creek Surgery Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1699819979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1841371135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 TURTLE CREEK DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757011937",
"telephone_number": "903-592-1664",
"fax_number": "903-592-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 TURTLE CREEK DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757011937",
"telephone_number": "903-592-1664",
"fax_number": "903-592-6595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTON",
"first_name": "JAMES",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "TX",
"license": "TX8681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130586404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130586406",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "751572652",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130586402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS #",
"identifier": "00L740",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Jennifer Dykes Holman, MD
- Sequoia Sana' Holmes
- Tamra Marchelle Holmes, CSFA
- Thomas R Holmes, OTR
- Andrea Lyn Holrath, PTA
- Home Aid Caregivers LTD
- Home Quality Care Home Healthcare, Inc. (Bethany Home Health Services)
- Homepointe Healthcare Inc. (HomePointe Hospice)
- Homepointe Healthcare, Inc. (HomePointe Home Health)
- Jennifer L Homer, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.