Active NPI
James E Hereford, DDS
- General Practice Dentistry
- Collinsville, OK
National Provider Identifier
1972587400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4112
- Practice address
- 1111 W Main St
Collinsville, OK 74021-3112 - Phone
- (918) 371-3375
- Fax
- (918) 371-4407
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4112 | OK | Primary |
Addresses
Primary practice location
1111 W Main St
Collinsville, OK 74021-3112
Mailing address
1111 W Main St
Collinsville, OK 74021-3112
Phone (918) 371-3375
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 |
|---|---|---|---|
| 4112 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E Hereford, DDS, Inc | Past | Accepting new patients | |
| Spring Dental Collinsville, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Collinsville, OK
- NPI 1548434558
-
- Dentist
- Collinsville, OK
- NPI 1477110963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1972587400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W MAIN ST",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213112",
"telephone_number": "918-371-3375",
"fax_number": "918-371-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W MAIN ST",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740213112",
"telephone_number": "918-371-3375",
"fax_number": "918-371-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREFORD",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.