Organization Active NPI

Esthetics Unlimited

  • General Practice Dentistry
  • Meridian, MS
National Provider Identifier
1063635829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3104-99 Issued in MS
Legal business name
ESTHETICS UNLIMITED
Practice address
2400 16TH St
Meridian, MS 39301-3955
Phone
(601) 483-6021
Fax
(601) 483-1140
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harvey Miles Shirley, DMDNPI 1487877221
Title
Dentist
Phone
(601) 483-6021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3104-99 MS Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 136969 MS

Addresses

Primary practice location

2400 16TH St
Meridian, MS 39301-3955

Mailing address

4509 9TH Ave
Meridian, MS 39305-2815
Phone (601) 483-4946

National Provider Directory

National Provider Directory

Locations

2400 16th St
Meridian, MS 39301
Phone (601) 483-4522

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063635829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 9TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052815",
            "telephone_number": "601-483-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 16TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013955",
            "telephone_number": "601-483-6021",
            "fax_number": "601-483-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETICS UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-483-6021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3104-99",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "136969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.