James P. Imp, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5001209 Issued in WI

Practice address

2825 Farview Dr
Richfield, WI 53076-9712

Phone

(262) 677-3786

NPI assigned

Aug 8, 2007

Last updated

Aug 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1912198474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FARVIEW DR",
            "city": "RICHFIELD",
            "state": "WI",
            "postal_code": "530769712",
            "telephone_number": "262-677-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FARVIEW DR",
            "city": "RICHFIELD",
            "state": "WI",
            "postal_code": "530769712",
            "telephone_number": "262-677-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMP",
        "first_name": "JAMES",
        "middle_name": "P.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33796100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Ainsworth
• Jennifer Forstner, DC
• Kristina Hermanson
• Holy Hill Area School District
• Hannah Krueger
• Amy Loomis, RN, DOULA
• Hanna M Podbielski
• Richfield Joint School District No. 1
• Richfield Volunteer Fire Company

• Dentist in Richfield, WI
• Providers in Richfield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.

Verify at the official NPI Registry.