Dockins Denatll, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2819-94 Issued in MS

Legal business name

DOCKINS DENATLL, LLC

Practice address

500I E Woodrow Wilson Ave
Jackson, MS 39216-4538

Phone

(601) 982-0048

Fax

(601) 982-0388

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jo Andrea T Dockins, D.D.S.NPI 1598849291

Title

Dentist

Phone

(601) 982-0048

Specialties & licenses 1

Addresses

Tax ID family

Dockins Denatll LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dockins Dental LLC

  • General Practice Dentistry
  • Jackson, MS
  • NPI 1831264035
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joandrea T Dockins, DDS

  • Dentist
  • Jackson, MS
  • NPI 1598849291
  Authorized official Same address or phone

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1023281300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500I E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-982-0048",
            "fax_number": "601-982-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500I E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-982-0048",
            "fax_number": "601-982-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCKINS DENATLL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "DOCKINS",
        "authorized_official_first_name": "JO ANDREA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-982-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "2819-94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanquell Marida Dixon, MD
• Whitney Dixon
• DMN Behavioral and Counseling Group LLC
• Linda DO, M.D.
• Brandon Dobson, LCSW
• Dockins Dental LLC
• Joandrea T Dockins, DDS
• Isaac Matthew Emmanuel Dodd, MD
• Theresa Doddato, RN, PH.D
• Ali Dodge-Khatami, MD

• Dentist in Jackson, MS
• Providers in Jackson, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.