Individual provider Active NPI

Christopher M James, DMD

  • Endodontics
  • Vancouver, WA
National Provider Identifier
1982916508
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60166205 Issued in WA
Practice address
12500 SE 2ND Cir Ste 135
Vancouver, WA 98684-6031
Phone
(267) 804-3372
Fax
(360) 695-8994
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DE60166205 WA Primary
Endodontics 1223E0200X 101281 CA
General Practice Dentistry 1223G0001X DE60166205 WA

Addresses

Primary practice location

12500 SE 2ND Cir Ste 135
Vancouver, WA 98684-6031

Mailing address

12500 SE 2ND Cir Ste 135
Vancouver, WA 98684-6031
Phone (267) 804-3372

Other practice location 1

4309 W Nob Hill Blvd
Yakima, WA 98908-3971
Phone (509) 823-4480

Other practice location 2

955 Boardwalk Ste 302
San Marcos, CA 92078-2659
Phone (760) 510-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20200219002994 WA Order and Referring Only - DentistPractitioner - Dentist 1456788033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60166205WAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1982916508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 SE 2ND CIR STE 135",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846031",
            "telephone_number": "267-804-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 SE 2ND CIR STE 135",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846031",
            "telephone_number": "267-804-3372",
            "fax_number": "360-695-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 W Nob Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989083971",
            "country_code": "US",
            "telephone_number": "509-823-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Boardwalk Ste 302",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782659",
            "country_code": "US",
            "telephone_number": "760-510-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60166205",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "101281",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60166205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.