Active NPI
James M Huoni Sr., DMD
- Dentist
- Leland, MS
National Provider Identifier
1104933316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1891 80
- Practice address
- 305 No Broad Street
Leland, MS 38756 - Phone
- (662) 686-2009
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1891 80 | MS | Primary |
Addresses
Primary practice location
305 No Broad Street
Leland, MS 38756
Mailing address
305 No Broad Street
Leland, MS 38756
Phone (662) 686-2009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00060133 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1891 80 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104933316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NO BROAD STREET",
"city": "LELAND",
"state": "MS",
"postal_code": "38756",
"telephone_number": "662-686-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NO BROAD STREET",
"city": "LELAND",
"state": "MS",
"postal_code": "38756",
"telephone_number": "662-686-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUONI",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "1891 80",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00060133",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.