James A Carley, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0190016888 Issued in IL

Practice address

1405 W Reynolds St
Pontiac, IL 61764-0468

Phone

(815) 842-4142

Fax

(815) 842-1024

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Myofascial Release Therapy, LLC

  • Physical Therapist
  • Pontiac, IL
  • NPI 1427078369
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952461261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "address_2": "1405 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617640468",
            "telephone_number": "815-842-4142",
            "fax_number": "815-842-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617640468",
            "telephone_number": "815-842-4142",
            "fax_number": "815-842-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "0190016888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Joyce Brown, O.D.
• Barbara Kay Browning, CADC
• Brittany Nicole Bursott, APN
• Daniel Butterbach, M.D.
• Crystal Ann Cargill, APN, NP-BC
• Kelsey R Carley, DPT
• Linda G Carley, PT
• Ryan Jason Carley, D.M.D.
• Elaine Marie Carroll, MD
• Caitlin Chagoya, MHP

• Orthodontics and Dentofacial Orthopedics Dentistry in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• 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.

Verify at the official NPI Registry.