James Clarence McAllister, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12006764A Issued in IN

Practice address

135 N Shortridge Rd Ste B5
Indianapolis, IN 46219-8905

Phone

(317) 357-8548

Fax

(317) 357-8546

NPI assigned

Mar 15, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• James C. McAllister DDS, Inc

  • Dentist
  • Indianapolis, IN
  • NPI 1861877508
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972637502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N SHORTRIDGE RD STE B5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462198905",
            "telephone_number": "317-357-8548",
            "fax_number": "317-357-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N SHORTRIDGE RD STE B5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462198905",
            "telephone_number": "317-357-8548",
            "fax_number": "317-357-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "JAMES",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12006764A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100048150A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "35-141-2708",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie Michelle McAfee
• Joshua McAlister
• Nicole M McAlister, OTR/L
• Stephanie McAlister, MS, CCA
• Alison McAllister
• Thomas W McAllister, MD
• Matthew Josef McAnelly, LMSW
• Teresa Lynn McAninch, O.T.
• Ryan Patrick McArdle
• Samantha McArdle

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.