Nash Family Dentistry, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2354 Issued in MS

Legal business name

NASH FAMILY DENTISTRY, INC

Practice address

1201 Mission Park Dr
Vicksburg, MS 39180-3747

Phone

(601) 634-1812

Fax

(601) 630-9559

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth David Nash, DDSNPI 1609030642

Title

President

Phone

(601) 634-1812

Specialties & licenses 1

Addresses

Other names 1

• Nash Family Dentistry Doing business as

Practitioners 2

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

• Kenneth David Nash, DDS

  • General Practice Dentistry
  • Vicksburg, MS
  • NPI 1609030642
  NPD (past) Authorized official
• Jonathan Nash, D.D.S.

  • General Practice Dentistry
  • Vicksburg, MS
  • NPI 1821441858
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1407940141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MISSION PARK DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803747",
            "telephone_number": "601-634-1812",
            "fax_number": "601-630-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MISSION PARK DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803747",
            "telephone_number": "601-634-1812",
            "fax_number": "601-630-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-634-1812",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nash Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Lachan Murrell, LPC
• Paul Douglas Murry, D.C.
• Latoya Myers
• Yoshinobu Namihira, MD
• Andres Narvaez Cordova, MD
• Jonathan Nash, D.D.S.
• Kenneth David Nash, DDS
• Elizabeth Naya
• Ann Nelson, LSW
• Danielle Sheryl-Lee Nelson, MD

• General Practice Dentistry in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.