Organization Active NPI

Newton Family Dental Clinic

  • Dental Clinic/Center
  • Newton, MS
National Provider Identifier
1326212374
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2179-85 Issued in MS
Legal business name
NEWTON FAMILY DENTAL CLINIC
Practice address
211 S Main St
Newton, MS 39345-2612
Phone
(601) 683-6567
Fax
(601) 683-7555
NPI assigned
Apr 21, 2008
Last updated
Apr 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Authorized official

Name
Dr. John B Harrison, D.M.D.NPI 1245377720
Title
Dentist
Phone
(601) 683-6567

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 2179-85 MS Primary

Addresses

Primary practice location

211 S Main St
Newton, MS 39345-2612

Mailing address

211 S Main St
Newton, MS 39345-2612
Phone (601) 683-6567

Other identifiers 1

IdentifierTypeStateIssuer
03029511MedicaidMS

National Provider Directory

National Provider Directory

Locations

211 S Main St
Newton, MS 39345
Phone (601) 683-6567

Practitioners & affiliated clinicians

Practitioners 2

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": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1326212374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452612",
            "telephone_number": "601-683-6567",
            "fax_number": "601-683-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452612",
            "telephone_number": "601-683-6567",
            "fax_number": "601-683-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON FAMILY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-683-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "2179-85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03029511",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.