Organization Active NPI

Choices for Dental

  • Dental Clinic/Center
  • Jackson, MS
National Provider Identifier
1124182407
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHOICES FOR DENTAL
Practice address
2941 Terry Rd Ste 16
Jackson, MS 39212-3072
Phone
(601) 372-0066
Fax
(601) 371-6931
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Mrs. Annette Austin
Title
Ceo
Phone
(225) 261-6314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2941 Terry Rd Ste 16
Jackson, MS 39212-3072

Mailing address

2941 Terry Rd Ste 16
Jackson, MS 39212-3072
Phone (601) 372-0066

National Provider Directory

National Provider Directory

Locations

2941 Terry Rd
Ste 16
Jackson, MS 39212
Phone (601) 372-0066

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1124182407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 TERRY RD STE 16",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123072",
            "telephone_number": "601-372-0066",
            "fax_number": "601-371-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 TERRY RD STE 16",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123072",
            "telephone_number": "601-372-0066",
            "fax_number": "601-371-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FOR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-261-6314",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.