Organization Active NPI

Craddock and Hyde Dental PLLC

  • General Practice Dentistry
  • Richland, MS
National Provider Identifier
1366718470
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3326-05 Issued in MS
Legal business name
CRADDOCK AND HYDE DENTAL PLLC
Practice address
125 W Harper St
Richland, MS 39218-4406
Phone
(601) 932-5100
NPI assigned
Mar 23, 2012
Last updated
Mar 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Hilary Craddock
Title
Owner
Phone
(601) 932-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3389 MS
General Practice Dentistry 1223G0001X 3326-05 MS Primary

Addresses

Primary practice location

125 W Harper St
Richland, MS 39218-4406

Mailing address

125 W Harper St
Richland, MS 39218-4406

National Provider Directory

National Provider Directory

Locations

125 W Harper St
Richland, MS 39218
Phone (601) 932-5100

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1366718470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HARPER ST",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392184406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HARPER ST",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392184406",
            "telephone_number": "601-932-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRADDOCK AND HYDE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-932-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3389",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3326-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.