Active NPI
James Douglas McKelvey, DDS
- Dentist
- Holmen, WI
National Provider Identifier
1922102581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1781G
- Practice address
- 501 Empire St
Holmen, WI 54636-0001 - Phone
- (608) 526-4707
- NPI assigned
- Sep 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1781G | WI | Primary |
Addresses
Primary practice location
501 Empire St
Holmen, WI 54636-0001
Mailing address
Box 1
501 Empire St
Holmen, WI 54636-0001
Phone (608) 526-4707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1781G | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922102581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 1",
"address_2": "501 EMPIRE ST",
"city": "HOLMEN",
"state": "WI",
"postal_code": "546360001",
"telephone_number": "608-526-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 EMPIRE ST",
"city": "HOLMEN",
"state": "WI",
"postal_code": "546360001",
"telephone_number": "608-526-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVEY",
"first_name": "JAMES",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1781G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.