Individual provider Active NPI

Tiffany Thomas Hollingsworth, DMD

  • General Practice Dentistry
  • Corinth, MS
National Provider Identifier
1023498987
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3798-15 Issued in MS
Practice address
1025 Foote St
Corinth, MS 38834-4911
Phone
(662) 287-3156
Fax
(662) 287-3157
NPI assigned
Jun 5, 2015
Last updated
Oct 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10041 TN
General Practice Dentistry 1223G0001X 3798-15 MS Primary

Addresses

Primary practice location

1025 Foote St
Corinth, MS 38834-4911

Mailing address

1025 Foote St
Corinth, MS 38834-4911
Phone (662) 287-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20161219002775 MS Order and Referring Only - DentistPractitioner - Dentist 9032490651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10041TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Arts of Corinth General Practice Past Accepting new patients
Iuka Family Dental, PLLC PastSince Apr 6, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1023498987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 FOOTE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344911",
            "telephone_number": "662-287-3156",
            "fax_number": "662-287-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 FOOTE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344911",
            "telephone_number": "662-287-3156",
            "fax_number": "662-287-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "TIFFANY",
        "middle_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10041",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3798-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.