Active NPI
Andrew Dulaney
- Dentist
- Byram, MS
National Provider Identifier
1073927752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3739-14
- Practice address
- 310 Byram PL Ste C
Byram, MS 39272-8739 - Phone
- (601) 373-1351
- Fax
- (601) 372-7029
- NPI assigned
- Jun 20, 2014
- Last updated
- Jun 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3739-14 | MS | Primary |
Addresses
Primary practice location
310 Byram PL Ste C
Byram, MS 39272-8739
Mailing address
310 Byram PL Ste C
Byram, MS 39272-8739
Phone (601) 373-1351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 19, 2022 through Apr 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3739-14 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulaney Dental, PLLC | Current | Accepting new patients | |
| Andrew K. Dulaney, DMD | Past | Accepting new patients | |
| Albert J. Singletary, Inc | Past | Accepting new patients |
Locations
310 Byram Pl
Ste C
Jackson, MS 39272
Phone (601) 373-1351
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Byram, MS
- NPI 1184089476
-
- General Practice Dentistry
- Crystal Springs, MS
- NPI 1467554378
-
- General Practice Dentistry
- Jackson, MS
- NPI 1205045549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1073927752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 BYRAM PL STE C",
"city": "BYRAM",
"state": "MS",
"postal_code": "392728739",
"telephone_number": "601-373-1351",
"fax_number": "601-372-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 BYRAM PL STE C",
"city": "BYRAM",
"state": "MS",
"postal_code": "392728739",
"telephone_number": "601-373-1351",
"fax_number": "601-372-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULANEY",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "3739-14",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Byram, MS
- Dewona Flowers
- John Anthony Dickson, M.D.
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy Jackson LLC (Performance Rehab)
- Dulaney Dental, PLLC
- Educare Senior Day Center
- Bethany Janette Edwards, FNP
- Elite Care Mental Health Services LLC
- Lora Nicole Ellis, P.T.
- Endless Possibilities Counseling and Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.