NPIMap

Organization Active NPI

Ross Family Dental Clinic

  • General Practice Dentistry
  • Oxford, MS
National Provider Identifier
1336441591
Registry record updated Nov 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
349309 Issued in MS
Legal business name
ROSS FAMILY DENTAL CLINIC
Practice address
127 Heritage Dr
Oxford, MS 38655-5458
Phone
(662) 234-2722
NPI assigned
Nov 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2010

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

Authorized official

Name
Dr. Andrew S Ross, D.M.D.
Title
Owner, Dentist
Phone
(662) 234-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 349309 MS Primary

Addresses

Primary practice location

127 Heritage Dr
Oxford, MS 38655-5458

Mailing address

127 Heritage Dr
Oxford, MS 38655-5458
Phone (662) 234-2722

National Provider Directory

National Provider Directory

Locations

127 Heritage Dr
Oxford, MS 38655
Phone (662) 234-2722

NPI Registry JSON

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

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290297600000",
    "number": "1336441591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HERITAGE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555458",
            "telephone_number": "662-234-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HERITAGE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555458",
            "telephone_number": "662-234-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS FAMILY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-21",
        "last_updated": "2010-11-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "662-234-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "349309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2010; 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.