Active NPI
Harry Thomas Cosby, DDS
- Endodontics
- Tupelo, MS
National Provider Identifier
1205057585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2403
- Practice address
- 144 South Thomas Street
Suite 203
Tupelo, MS 38801 - Phone
- (662) 840-4422
- Fax
- (662) 840-4447
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2403 | MS | Primary |
| Endodontics | 1223E0200X | ENDO22092 | MS | |
| Endodontics | 1223E0200X | DS0000005162 | TN |
Addresses
Primary practice location
144 South Thomas Street
Suite 203
Tupelo, MS 38801
Mailing address
144 South Thomas Street
Suite 203
Tupelo, MS 38801
Phone (662) 840-4422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3030652 | Other | TN | BLUE CROSS BLUE SHIELD |
| 863952 | Other | PA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ENDO22092 | MS | MD | Endodontist |
| DS0000005162 | TN | MD | Endodontist |
| 2403 | MS | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205057585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 SOUTH THOMAS STREET",
"address_2": "SUITE 203",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-840-4422",
"fax_number": "662-840-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 SOUTH THOMAS STREET",
"address_2": "SUITE 203",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-840-4422",
"fax_number": "662-840-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSBY",
"first_name": "HARRY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "2403",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "ENDO22092",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "DS0000005162",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3030652",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "863952",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.