Individual provider Active NPI

James J Nemmers, DDS

  • Dentist
  • Dubuque, IA
National Provider Identifier
1902810518
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7386 Issued in IA
Practice address
968 W 3Rd St Ste 100
Dubuque, IA 52001-6607
Phone
(563) 583-5617
NPI assigned
Jul 28, 2006
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7386 IA Primary
General Practice Dentistry 1223G0001X 7386 IA

Addresses

Primary practice location

968 W 3Rd St Ste 100
Dubuque, IA 52001-6607

Mailing address

968 W 3Rd St Ste 100
Dubuque, IA 52001-6607
Phone (563) 583-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220000521 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941525653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7386IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James J. Nemmers DDS PC Past 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1902810518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 W 3RD ST STE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016607",
            "telephone_number": "563-583-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 W 3RD ST STE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016607",
            "telephone_number": "563-583-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMMERS",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "7386",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.