James K Jolly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8556 Issued in NC

Practice address

1819 E Innes St
Salisbury, NC 28146-6121

Phone

(704) 633-7117

Fax

(704) 633-4637

NPI assigned

Sep 10, 2007

Last updated

Jun 16, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

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.

• James K. Jolly, D.D.S, PA

  • Dental Clinic/Center
  • Salisbury, NC
  • NPI 1013177922
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1922293315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466121",
            "telephone_number": "704-633-7117",
            "fax_number": "704-633-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466121",
            "telephone_number": "704-633-7117",
            "fax_number": "704-633-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "JAMES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30020098",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadejah Johnson
• Natasha Johnson, LCSW
• Nicolas Hunter Johnson
• Megan Bost Johnston, AGPCNP-C
• Tanganeka Monique Johnston, LCSWA
• Jonathan C. Huffman DDS PA
• Christopher Antonio Jones Jr., LCAS-A
• Cybil D Jones, P.A.
• Elizabeth Janeen Jones, LCSWA
• Janai Jones, MS, NCC

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.