James L Gates, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005722 Issued in VA

Practice address

1128 N Main St
Suite a
Marion, VA 24354-4299

Phone

(276) 783-6818

Fax

(276) 783-2263

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1912932609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544299",
            "telephone_number": "276-783-6818",
            "fax_number": "276-783-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544299",
            "telephone_number": "276-783-6818",
            "fax_number": "276-783-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITIED CONCORDIA",
            "identifier": "598414",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007822103",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "141620",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Alexander Flores-Garcia
• Francis Marion Operating Group LLC
• Carrie Lynn Frye, LCSW
• Teresa Fullen, FNP-C
• Patricia Faye Funk, LCSW
• Justin Lewis Gates, D.D.S.
• Roberta Lynn Gatlin, PT, DSCPT, PCS
• Genoa Healthcare LLC
• Jamelyn Gillespie, LMT
• George David Gilliam, D.D.S.

• General Practice Dentistry in Marion, VA
• Providers in Marion, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.