NPIMap

Organization Active NPI

Penley Family Dentistry

  • General Practice Dentistry
  • Carriere, MS
National Provider Identifier
1134545569
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3550-10 Issued in MS
Legal business name
PENLEY FAMILY DENTISTRY
Practice address
6480 Highway 11 N
Carriere, MS 39426-8143
Phone
(601) 749-9330
Fax
(601) 749-9449
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Adrienne L Penley, D.M.D.NPI 1982925038
Title
President
Phone
(601) 749-9330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3550-10 MS Primary

Addresses

Primary practice location

6480 Highway 11 N
Carriere, MS 39426-8143

Mailing address

6480 Highway 11 N
Carriere, MS 39426-8143
Phone (601) 749-9330

National Provider Directory

National Provider Directory

Locations

6480 Highway 11 N
Carriere, MS 39426
Phone (601) 566-5599

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1134545569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HIGHWAY 11 N",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268143",
            "telephone_number": "601-749-9330",
            "fax_number": "601-749-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 HIGHWAY 11 N",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268143",
            "telephone_number": "601-749-9330",
            "fax_number": "601-749-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENLEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "PENLEY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-749-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3550-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carriere, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.