Organization Active NPI

Joey Sessums DMD, PC

  • Pediatric Dentistry
  • Brookhaven, MS
National Provider Identifier
1083954739
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3552-10 Issued in MS
Legal business name
JOEY SESSUMS DMD, PC
Doing business as
Ole Brook Pediatric Dentistry
Practice address
331 S Jackson St
Brookhaven, MS 39601-3301
Phone
(601) 833-6113
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Joey Sessums, DMDNPI 1053622670
Title
Dentist/Owner
Phone
(601) 833-6113

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 3552-10 MS Primary

Addresses

Primary practice location

331 S Jackson St
Brookhaven, MS 39601-3301

Mailing address

331 S Jackson St
Brookhaven, MS 39601-3301
Phone (601) 833-6113

Other names 1

  • Ole Brook Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

331 S Jackson St
Brookhaven, MS 39601
Phone (601) 833-6113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1083954739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S JACKSON ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013301",
            "telephone_number": "601-833-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S JACKSON ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013301",
            "telephone_number": "601-833-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEY SESSUMS DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "SESSUMS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "601-833-6113",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "3552-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ole Brook Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.