Organization Active NPI

Ritter & Backstrom Dentistry PLLC

Doing business as Ritter & Backstrom Dentistry

  • Dental Clinic/Center
  • Saltillo, MS
National Provider Identifier
1306602875
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RITTER & BACKSTROM DENTISTRY PLLC
Doing business as
Ritter & Backstrom Dentistry
Practice address
2690 Highway 145
Saltillo, MS 38866-6941
Phone
(662) 869-2100
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Dr. Miles Arthur Backstrom, DMDNPI 1740768332
Title
Owner
Phone
(662) 397-3749

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

2690 Highway 145
Saltillo, MS 38866-6941

Mailing address

726 Highland Park Dr
Tupelo, MS 38801-8901
Phone (662) 397-3749

Other names 1

  • Ritter & Backstrom Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1306602875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 HIGHLAND PARK DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388018901",
            "telephone_number": "662-397-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 HIGHWAY 145",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388666941",
            "telephone_number": "662-869-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITTER & BACKSTROM DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "BACKSTROM",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-397-3749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ritter & Backstrom Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saltillo, MS

Sources for this page

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