Individual provider Active NPI

Steven Mark Porter, D.D.S.

  • General Practice Dentistry
  • Columbus, MS
National Provider Identifier
1386733046
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2700-92D Issued in MS
Practice address
2900 Bluecutt Rd
Suite 2
Columbus, MS 39705-1470
Phone
(662) 328-1600
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2700-92D MS Primary

Addresses

Primary practice location

2900 Bluecutt Rd
Suite 2
Columbus, MS 39705-1470

Mailing address

2900 Bluecutt Rd
Suite 2
Columbus, MS 39705-1470
Phone (662) 328-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2700-92DMSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven M. Porter, DDS General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sporter193328@ummc.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386733046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BLUECUTT RD",
            "address_2": "SUITE 2",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051470",
            "telephone_number": "662-328-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BLUECUTT RD",
            "address_2": "SUITE 2",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051470",
            "telephone_number": "662-328-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2700-92D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.