NPIMap

Organization Active NPI

Corinth Dental

  • General Practice Dentistry
  • Corinth, MS
National Provider Identifier
1295575926
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORINTH DENTAL
Practice address
407 Cruise St
Corinth, MS 38834-4742
Phone
(662) 287-9500
Fax
(662) 287-9596
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Mrs. Carol J Hutcheson
Title
Insurance Coordinator
Phone
(662) 287-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

407 Cruise St
Corinth, MS 38834-4742

Mailing address

407 Cruise St
Corinth, MS 38834-4742
Phone (662) 287-9500

Other identifiers 2

IdentifierTypeStateIssuer
04958005MedicaidMS
00660170MedicaidMS

National Provider Directory

National Provider Directory

Locations

407 Cruise St
Corinth, MS 38834
Phone (662) 287-9500

Practitioners & affiliated clinicians

Practitioners 3

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": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1295575926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CRUISE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344742",
            "telephone_number": "662-287-9500",
            "fax_number": "662-287-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CRUISE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344742",
            "telephone_number": "662-287-9500",
            "fax_number": "662-287-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "HUTCHESON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "662-287-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04958005",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660170",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.