NPIMap

Organization Active NPI

Grants Ferry Family Dentistry

  • Dental Clinic/Center
  • Brandon, MS
National Provider Identifier
1265779052
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3276-03 Issued in MS
Legal business name
GRANTS FERRY FAMILY DENTISTRY
Practice address
1075 Lake Village Cir
Brandon, MS 39047-6743
Phone
(601) 992-1605
Fax
(601) 992-9534
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Carla Rushing
Title
Owner
Phone
(601) 992-1605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3276-03 MS Primary

Addresses

Primary practice location

1075 Lake Village Cir
Brandon, MS 39047-6743

Mailing address

1075 Lake Village Cir
Brandon, MS 39047-6743
Phone (601) 992-1605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1265779052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476743",
            "telephone_number": "601-992-1605",
            "fax_number": "601-992-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476743",
            "telephone_number": "601-992-1605",
            "fax_number": "601-992-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTS FERRY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-992-1605",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "3276-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.