Active NPI
Joseph-Charles Mardini, D.D.S.
- Dentist
- Natchez, MS
National Provider Identifier
1245613439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3851-16
- Practice address
- 110 Highway 61 S
Natchez, MS 39120-5217 - Phone
- (240) 477-9551
- NPI assigned
- Jul 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3851-16 | MS | Primary |
Addresses
Primary practice location
110 Highway 61 S
Natchez, MS 39120-5217
Mailing address
740 Boulevard Montpellier
Apt 1614
Montreal, QEUEBC H4L 5B1
CA
Phone (240) 477-9551
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 |
|---|---|---|---|
| 3851-16 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1245613439",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "740 BOULEVARD MONTPELLIER",
"address_2": "APT 1614",
"city": "MONTREAL",
"state": "QEUEBC",
"postal_code": "H4L 5B1",
"telephone_number": "240-477-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HIGHWAY 61 S",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391205217",
"telephone_number": "240-477-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDINI",
"first_name": "JOSEPH-CHARLES",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "3851-16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.