Active NPI
James Kenneth Lace, M.D.
- Pediatrics Physician
- Salem, OR
National Provider Identifier
1992731343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10393
- Practice address
- 2395 Center St NE
Salem, OR 97301-4464 - Phone
- (503) 364-2181
- Fax
- (503) 364-0364
- NPI assigned
- Jun 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10393 | OR | Primary |
Addresses
Primary practice location
2395 Center St NE
Salem, OR 97301-4464
Mailing address
2395 Center St NE
Salem, OR 97301-4464
Phone (503) 364-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112060 | Medicaid | OR |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10393 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992731343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014464",
"telephone_number": "503-364-2181",
"fax_number": "503-364-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014464",
"telephone_number": "503-364-2181",
"fax_number": "503-364-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACE",
"first_name": "JAMES",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "10393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112060",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.