Organization Active NPI

Christina L. Dial, D.O. PLLC

  • Surgery Physician
  • Flowood, MS
National Provider Identifier
1124193354
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CHRISTINA L. DIAL, D.O. PLLC
Practice address
1044 N Flowood Dr
Flowood, MS 39232-9789
Phone
(601) 936-8999
Fax
(601) 936-0088
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Christina L Dial, DO
Title
Owner
Phone
(601) 936-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1044 N Flowood Dr
Flowood, MS 39232-9789

Mailing address

PO Box 321391
Flowood, MS 39232-1391
Phone (601) 936-8999

Other names 1

  • Breast Care Clinic of Jackson Doing business as

National Provider Directory

National Provider Directory

Locations

1020 River Oaks Dr
Ste 460
Jackson, MS 39232
Phone (601) 932-3607

212 Draperton Ct
Ste A
Ridgeland, MS 39157
Phone (601) 936-8999

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1124193354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321391",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321391",
            "telephone_number": "601-936-8999",
            "fax_number": "601-936-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329789",
            "telephone_number": "601-936-8999",
            "fax_number": "601-936-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA L. DIAL, D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-936-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast Care Clinic of Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.