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Organization Active NPI

Edward Brown Specialty Partners of Mississippi, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Laurel, MS
National Provider Identifier
1003702804
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI, PLLC
Practice address
927 N 15TH Ave
Laurel, MS 39440-3354
Phone
(601) 215-2021
NPI assigned
Jun 17, 2025
Organization subpart
Yes
Parent organization
EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Krystal Richardson
Title
Director Revenue Cycle Management
Phone
(214) 934-7995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

927 N 15TH Ave
Laurel, MS 39440-3354

Mailing address

820 W 42ND St Ste 2300
Scottsbluff, NE 69361-5016

Other practice location 1

209 Old Richton Rd
Petal, MS 39465-2943
Phone (228) 872-8153

National Provider Directory

National Provider Directory
Tax ID family
Edward Brown Specialty Partners of Mississippi PLLC8 organizations share this tax ID, including this one
Part of
Edward Brown Specialty Partners of Mississippi PLLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1003702804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST STE 2300",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693615016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403354",
            "telephone_number": "601-215-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Old Richton Rd",
            "address_purpose": "LOCATION",
            "city": "Petal",
            "state": "MS",
            "postal_code": "394652943",
            "country_code": "US",
            "telephone_number": "228-872-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI, PLLC",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "214-934-7995"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.