Active NPI
Choices for Dental
- Dental Clinic/Center
- Jackson, MS
National Provider Identifier
1124182407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Public Health or Welfare Agency
- Jackson, MS
- NPI 1457520173
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.