Active NPI
Charles Hayden Perkins, DMD
- Pediatric Dentistry
- Oxford, MS
National Provider Identifier
1033152020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- PEDO-397-06
- Practice address
- 2408 S. Lamar Blvd.
Suite 1
Oxford, MS 38655 - Phone
- (662) 513-4188
- Fax
- (662) 513-4180
- NPI assigned
- Jun 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3306-04 | MS | |
| Pediatric Dentistry | 1223P0221X | PEDO-397-06 | MS | Primary |
Addresses
Primary practice location
2408 S. Lamar Blvd.
Suite 1
Oxford, MS 38655
Mailing address
2408 S. Lamar Blvd.
Suite 1
Oxford, MS 38655
Phone (662) 513-4188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09870248 | Medicaid | MS | |
| 07409833 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3306-04 | MS | MD | Dentist |
| PEDO-397-06 | MS | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Dental Specialists | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Oxford, MS
- NPI 1770646598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1033152020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 S. LAMAR BLVD.",
"address_2": "SUITE 1",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-513-4188",
"fax_number": "662-513-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 S. LAMAR BLVD.",
"address_2": "SUITE 1",
"city": "OXFORD",
"state": "MS",
"postal_code": "38655",
"telephone_number": "662-513-4188",
"fax_number": "662-513-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "CHARLES",
"middle_name": "HAYDEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "3306-04",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MS",
"license": "PEDO-397-06",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09870248",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07409833",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.