Organization Active NPI

William E Middleton Jr DDS PA

  • Dentist
  • Horn Lake, MS
National Provider Identifier
1356417992
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
259290 Issued in MS
Legal business name
WILLIAM E MIDDLETON JR DDS PA
Practice address
3011 Goodman Road W
Horn Lake, MS 38637
Phone
(662) 342-6530
Fax
(662) 342-9098
NPI assigned
Nov 27, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. William E Middleton Jr., DDS PANPI 1497901417
Title
President
Phone
(662) 342-6530

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

3011 Goodman Rd W
Horn Lake, MS 38637
Phone (662) 342-6530

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 259290 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

3011 Goodman Road W
Horn Lake, MS 38637

Mailing address

3011 Goodman Road W
Horn Lake, MS 38637
Phone (662) 342-6530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2008.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1356417992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 GOODMAN ROAD W",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "38637",
            "telephone_number": "662-342-6530",
            "fax_number": "662-342-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 GOODMAN ROAD W",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "38637",
            "telephone_number": "662-342-6530",
            "fax_number": "662-342-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E MIDDLETON JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-342-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "259290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horn Lake, MS

Sources for this page

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