South Mississippi Endodontics PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3122-00 Issued in MS

Legal business name

SOUTH MISSISSIPPI ENDODONTICS PA

Practice address

1721 Medical Park Dr
Suite 201
Biloxi, MS 39532-2109

Phone

(228) 267-3511

Fax

(601) 510-4448

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Craig Anderson, DMDNPI 1932211489

Title

Dentist

Phone

(503) 756-2307

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Brandon C. Anderson, DMD

  • Endodontics
  • Biloxi, MS
  • NPI 1932211489
  NPD (past) Authorized official
• Benjamin Leon Schrock, D.M.D.

  • Endodontics
  • Biloxi, MS
  • NPI 1003916826
  NPD (past)

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1194052373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR",
            "address_2": "SUITE 201",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322109",
            "telephone_number": "228-267-3511",
            "fax_number": "601-510-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR",
            "address_2": "SUITE 201",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322109",
            "telephone_number": "228-267-3511",
            "fax_number": "601-510-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI ENDODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-756-2307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MS",
            "license": "3122-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daci Noble Sobalvarro
• Amanda Elizabeth Sones, PTA
• Carlos J Sosa Rodriguez, M.D.
• Brittany Corrin Souder, IDMT
• South Mississippi AIDS Task Force, Inc.
• South Mississippi Home Health, Inc.
• South Mississippi Maxillofacial Surgery Center
• South Mississippi Nephrology, PLLC
• South Shore Radiology, LLC
• Trevor South

• Endodontics in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Endodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.