Active NPI
Christopher M James, DMD
- Endodontics
- Vancouver, WA
National Provider Identifier
1982916508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE60166205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200219002994 | WA | Order and Referring Only - Dentist | 1456788033 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60166205 | WA | MD | Endodontist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.