James R Woodson III DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3200-01 Issued in MS

Legal business name

JAMES R WOODSON III DMD

Practice address

11 Northtown Dr
Suite 105
Jackson, MS 39211-3699

Phone

(601) 988-6200

Fax

(601) 988-6203

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. James Randall Woodson III, DMDNPI 1366644056

Title

Owner

Phone

(601) 988-6200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James Randall Woodson III, D.M.D.

  • General Practice Dentistry
  • Jackson, MS
  • NPI 1366644056
  NPD (past) Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1417407404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTHTOWN DR",
            "address_2": "SUITE 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113699",
            "telephone_number": "601-988-6200",
            "fax_number": "601-988-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTHTOWN DR",
            "address_2": "SUITE 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113699",
            "telephone_number": "601-988-6200",
            "fax_number": "601-988-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R WOODSON III DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-988-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3200-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna Jake, MT
• Shada Jakes, MSW
• Jalopy Shoppe, Inc.
• Patricia Anne James Baldwin, NP
• James L. Moore, Jr., M.D., P.a.
• Ajaleen James, PCMHT
• Braxton Douglas James, ATC
• Carol James, SPEECH/LANGUAGE PATH
• Dexter Clydell James, RRT
• Ericka James

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, 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 Oct 13, 2016; 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.