Organization Active NPI

Quincy M Bennett

Doing business as Central MS Speech & Hearing

  • Hearing and Speech Clinic/Center
  • Ridgeland, MS
National Provider Identifier
1093988602
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
QUINCY M BENNETT
Doing business as
Central MS Speech & Hearing
Practice address
109 Brookfield Dr
Ridgeland, MS 39157-4034
Phone
(601) 212-5310
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Quincy M Bennett
Title
Owner
Phone
(601) 212-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

109 Brookfield Dr
Ridgeland, MS 39157-4034

Mailing address

109 Brookfield Dr
Ridgeland, MS 39157-4034
Phone (601) 212-5310

Other names 1

  • Central MS Speech & Hearing Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1093988602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BROOKFIELD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574034",
            "telephone_number": "601-212-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BROOKFIELD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574034",
            "telephone_number": "601-212-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY M BENNETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "QUINCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-212-5310"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central MS Speech & Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

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