Organization Active NPI

G. Wade Hankins Family Dentistry

  • Dentist
  • Pearl, MS
National Provider Identifier
1073766002
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
G. WADE HANKINS FAMILY DENTISTRY
Practice address
5647 Highway 80 E Ste 4
Pearl, MS 39208-8907
Phone
(601) 936-6108
NPI assigned
Nov 4, 2008
Last updated
Nov 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. G. Wade Hankins, D.M.D.
Title
Dentist
Phone
(601) 936-6108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

5647 Highway 80 E Ste 4
Pearl, MS 39208-8907

Mailing address

5647 Highway 80 E Ste 4
Pearl, MS 39208-8907
Phone (601) 936-6108

National Provider Directory

National Provider Directory

Locations

5647 Highway 80 E
Ste 4
Pearl, MS 39208
Phone (601) 936-6108

Practitioners & affiliated clinicians

Practitioners 3

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": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1073766002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 HIGHWAY 80 E STE 4",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088907",
            "telephone_number": "601-936-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 HIGHWAY 80 E STE 4",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088907",
            "telephone_number": "601-936-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. WADE HANKINS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-936-6108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.