Active NPI
James Samuel Parham, D.D.S.
- Dentist
- Springdale, AR
National Provider Identifier
1841628559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3969
- Practice address
- 2707 W Huntsville Ave
Springdale, AR 72762-7723 - Phone
- (479) 756-8631
- Fax
- (479) 751-7892
- NPI assigned
- Oct 16, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3969 | AR | Primary |
| General Practice Dentistry | 1223G0001X | 3969 | AR |
Addresses
Primary practice location
2707 W Huntsville Ave
Springdale, AR 72762-7723
Mailing address
2707 W Huntsville Ave
Springdale, AR 72762-7723
Phone (479) 756-8631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617000723 | AR | Order and Referring Only - Oral Surgery | 2365753332 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3969 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James S. Parham, D.D.S. P.a. | Dentist | Past | Accepting new patients |
| Charles a. Hanby DDS PC | General Practice | 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 and National Provider Directory roles.
-
- Dentist
- Springdale, AR
- NPI 1376970178
-
- General Practice Dentistry
- Springdale, AR
- NPI 1093802209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1841628559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 W HUNTSVILLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727627723",
"telephone_number": "479-756-8631",
"fax_number": "479-751-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 W HUNTSVILLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727627723",
"telephone_number": "479-756-8631",
"fax_number": "479-751-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "JAMES",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3969",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3969",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.