NPIMap

Organization Active NPI

James H Midkiff DDS PC

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1861403602
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
05136VA Issued in VA
Legal business name
JAMES H MIDKIFF DDS PC
Practice address
4051 Postal Drive SW
Roanoke, VA 24018-6439
Phone
(540) 774-0061
Fax
(540) 989-3121
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. James H Midkiff, DDS
Title
Dentist Owner President
Phone
(540) 774-0061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 05136VA VA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 04203VA VA

Addresses

Primary practice location

4051 Postal Drive SW
Roanoke, VA 24018-6439

Mailing address

4051 Postal Drive SW
Roanoke, VA 24018-6439
Phone (540) 774-0061

Other identifiers 1

IdentifierTypeStateIssuer
05136VAOtherVAVA DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

4051 Postal Dr
Roanoke, VA 24018
Phone (540) 774-0061

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1861403602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 POSTAL DRIVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186439",
            "telephone_number": "540-774-0061",
            "fax_number": "540-989-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 POSTAL DRIVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186439",
            "telephone_number": "540-774-0061",
            "fax_number": "540-989-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H MIDKIFF DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MIDKIFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST OWNER PRESIDENT",
        "authorized_official_telephone_number": "540-774-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "05136VA",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "04203VA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DENTAL LICENSE",
            "identifier": "05136VA",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.