Organization Active NPI

Claire Logan, DDS, PLLC

Doing business as Family Dental Care

  • Dentist
  • Flowood, MS
National Provider Identifier
1437848066
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CLAIRE LOGAN, DDS, PLLC
Doing business as
Family Dental Care
Practice address
996 Top St
Flowood, MS 39232-9541
Phone
(601) 936-2526
Fax
(601) 936-2426
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Dr. Claire Logan, DDSNPI 1093079147
Title
Owner
Phone
(601) 936-2526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

996 Top St
Flowood, MS 39232-9541

Mailing address

996 Top St
Flowood, MS 39232-9541
Phone (601) 936-2526

Other identifiers 3

IdentifierTypeStateIssuer
1912112061MedicaidMS
1972662203MedicaidMS
1093079147MedicaidTN

Other names 1

  • Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

996 Top St
Flowood, MS 39232
Phone (601) 936-2526

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1437848066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 TOP ST",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329541",
            "telephone_number": "601-936-2526",
            "fax_number": "601-936-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 TOP ST",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329541",
            "telephone_number": "601-936-2526",
            "fax_number": "601-936-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIRE LOGAN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-936-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912112061",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972662203",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093079147",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.