NPIMap

Organization Active NPI

Stephanie Harding, DDS of Mississippi II, PLLC

  • Dentist
  • Tupelo, MS
National Provider Identifier
1073975611
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3842-16 Issued in MS
Legal business name
STEPHANIE HARDING, DDS OF MISSISSIPPI II, PLLC
Practice address
1168 Cross Creek Drive
Tupelo, MS 38801
Phone
(662) 205-5070
Fax
(918) 473-8100
NPI assigned
Mar 23, 2016
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Haley Wooster
Title
Enrollment Specialist
Phone
(712) 733-8551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3842-16 MS Primary

Addresses

Primary practice location

1168 Cross Creek Drive
Tupelo, MS 38801

Mailing address

1168 Cross Creek Dr
Saltillo, MS 38866-5777
Phone (662) 205-5070

National Provider Directory

National Provider Directory
Tax ID family
Stephanie Harding DDS of Mississippi II PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1168 Cross Creek Dr
Saltillo, MS 38866
Phone (662) 205-5070

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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1073975611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 CROSS CREEK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388665777",
            "telephone_number": "662-205-5070",
            "fax_number": "918-473-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 CROSS CREEK DRIVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-205-5070",
            "fax_number": "918-473-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE HARDING, DDS OF MISSISSIPPI II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "712-733-8551"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "3842-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.