NPIMap

Organization Active NPI

Calhoun Family Dentistry PLLC

  • Dental Clinic/Center
  • Calhoun City, MS
National Provider Identifier
1356668214
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CALHOUN FAMILY DENTISTRY PLLC
Practice address
104 N Main St
Calhoun City, MS 38916-7029
Phone
(662) 628-5363
Fax
(662) 628-1275
NPI assigned
Apr 30, 2010
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Jimmy G Dobbs, DMDNPI 1316036395
Title
Manager
Phone
(662) 628-5363

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 MS Primary

Addresses

Primary practice location

104 N Main St
Calhoun City, MS 38916-7029

Mailing address

PO Box 1580
Calhoun City, MS 38916-1580
Phone (662) 628-5363

National Provider Directory

National Provider Directory

Locations

104 N Main St
Calhoun City, MS 38916
Phone (662) 628-5363

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": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1356668214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1580",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389161580",
            "telephone_number": "662-628-5363",
            "fax_number": "662-628-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389167029",
            "telephone_number": "662-628-5363",
            "fax_number": "662-628-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-628-5363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.