Active NPI
James Ewing, D.D.S.
- Endodontics
- Ft Hood, TX
National Provider Identifier
1982647558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 21733
- Practice address
- 4431 68TH Street, RM 105
USA Dentac
Ft Hood, TX 76544 - Phone
- (254) 287-2705
- Fax
- (254) 287-1786
- NPI assigned
- Jun 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21733 | TX | |
| Endodontics | 1223E0200X | 21733 | TX | Primary |
Addresses
Primary practice location
4431 68TH Street, RM 105
USA Dentac
Ft Hood, TX 76544
Mailing address
4431 68TH Street, RM 105
USA Dentac
Ft Hood, TX 76544
Phone (254) 287-2705
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1982647558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4431 68TH STREET, RM 105",
"address_2": "USA DENTAC",
"city": "FT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-2705",
"fax_number": "254-287-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 68TH STREET, RM 105",
"address_2": "USA DENTAC",
"city": "FT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-2705",
"fax_number": "254-287-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21733",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "21733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.