Active NPI
Jeffrey Michael Niolet, D.M.D.
- General Practice Dentistry
- Long Beach, MS
National Provider Identifier
1245332303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3144-00
- Practice address
- 300 E Railroad St
Long Beach, MS 39560-4722 - Phone
- (228) 864-8711
- Fax
- (228) 864-3765
- NPI assigned
- Sep 1, 2006
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3144-00 | MS | Primary |
Addresses
Primary practice location
300 E Railroad St
Long Beach, MS 39560-4722
Mailing address
300 E Railroad St
Long Beach, MS 39560-4722
Phone (228) 864-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220528000056 | MS | Practitioner - Dentist | 8325337181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3144-00 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey M. Niolet, D.M.D. | Current | Accepting new patients |
Locations
300 E Railroad St
Long Beach, MS 39560
Phone (228) 864-8711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Long Beach, MS
- NPI 1184892184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245332303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E RAILROAD ST",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395604722",
"telephone_number": "228-864-8711",
"fax_number": "228-864-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E RAILROAD ST",
"city": "LONG BEACH",
"state": "MS",
"postal_code": "395604722",
"telephone_number": "228-864-8711",
"fax_number": "228-864-3765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIOLET",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3144-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, MS
- Miller-Whitmer Family Chiropractic
- Steven Lee Miller, DC
- Trenita Lashawn Moore, CFNP
- Hailey Grace Morgan, LMSW
- Steven Harry Myers, MSPT
- NNC Services LLC, (All About Hair)
- Ochsner Mississippi, LLC (Ochsner Health Center - Long Beach)
- Judith Olson, MSN, APRN, PMHNP-BC
- Peaceful Mind Counseling
- Tammy Lorine Pepin, LPC, NCC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.