DMC II Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12550 Issued in MS

Legal business name

DMC II INC

Doing business as

Allegro Family Clinic of East Columbus

Practice address

56 Dutch LN
Columbus, MS 39702-5500

Phone

(662) 329-3808

Fax

(662) 329-3873

NPI assigned

Nov 8, 2017

Last updated

Nov 29, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

DUTCH HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Joseph A Gillis

Title

Owner

Phone

(662) 327-5202

Specialties & licenses 3

Addresses

Other names 1

• Allegro Family Clinic of East Columbus Doing business as

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1336652676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-2774",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 DUTCH LN",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025500",
            "telephone_number": "662-329-3808",
            "fax_number": "662-329-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC II INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUTCH HEALTH SERVICES, INC.",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-327-5202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12550",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "06164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "876972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegro Family Clinic of East Columbus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Shalisa Deloach, OD
• Katrina Dendy, MSW
• Connor James Denison, DDS
• Abbey Johnson Dichiara, NP
• Elizabeth McTaggart Dimino, NP
• DMC II Inc (Allegro Family Clinic of North Columbus)
• Mercades Dooley
• John S Dornan, NP
• Heather L. Dorrance
• Megan Dowdle, PT

• Family Medicine Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.