James Andrew Jackson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3416-07 Issued in MS

Practice address

228 Main St.
Nettleton, MS 38858

Phone

(662) 963-7338

Fax

(668) 963-7339

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Nettleton Dental LLC

  • Dental Clinic/Center
  • Nettleton, MS
  • NPI 1780303677
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1386843050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MAIN ST.",
            "address_2": "PO BOX 338",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-963-7338",
            "fax_number": "668-963-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MAIN ST.",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-963-7338",
            "fax_number": "668-963-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3416-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Therapy LLC
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• John T Hall, RPH
• Bill Randle Hester, D.C.
• Home Town Market Inc.
• Andrew C Justice, CFNP
• Kawanna Corrine Malone, C.F.N.P.
• Michael Anthony McBryde, PT, DPT
• McDuffie Drug Co.
• Garry M McFerrin

• Dentist in Nettleton, MS
• Providers in Nettleton, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.