Organization Active NPI

Compudoc

  • Dental Clinic/Center
  • Vicksburg, MS
National Provider Identifier
1306050323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COMPUDOC
Practice address
1713 Clay St
Suite 5
Vicksburg, MS 39183-3048
Phone
(601) 638-7007
Fax
(601) 638-0760
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lemont T NorrisNPI 1891812731
Title
President
Phone
(601) 638-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1713 Clay St
Suite 5
Vicksburg, MS 39183-3048

Mailing address

1713 Clay St
Suite 5
Vicksburg, MS 39183-3048

National Provider Directory

National Provider Directory

Locations

1713 Clay St
Ste 5
Vicksburg, MS 39183
Phone (601) 638-7007

Practitioners & affiliated clinicians

Practitioners 1

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306050323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 CLAY ST",
            "address_2": "SUITE 5",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 CLAY ST",
            "address_2": "SUITE 5",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833048",
            "telephone_number": "601-638-7007",
            "fax_number": "601-638-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPUDOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "LEMONT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-638-7007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.